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Jeannine A Racey, CGNP
Gerontology Nurse Practitioner in Gulfport, Mississippi
NPI 1891711784

Jeannine A Racey is a Gerontology Nurse Practitioner based in Gulfport, MS and is specialized in Gerontology. Jeannine A Racey practices in Gulfport, MS and has the professional credentials of CGNP. The NPI Number for Jeannine A Racey is 1891711784 and holds a License No. R725927 (Mississippi).

The current practice location address for Jeannine A Racey is 1530 Broad Ave, Gulfport, MS and can be reached out via phone at 228-865-1330 and via fax at 228-865-1331.

Location: 1530 Broad Ave, Gulfport, MS, 39506-6705
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Provider Profile Details
NPI Number
1891711784
Provider Name
Jeannine A Racey
Credential
CGNP
Provider Entity Type
Individual
Gender
Female
Address
1530 Broad Ave, Gulfport, MS, 39506-6705
Phone Number
228-865-1330
Fax Number
228-865-1331
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00342756 01 RAILROAD MEDICARE
02858597 05 MS
institution
Provider Business Practice Location Address Details
Address
1530 Broad Ave
City
State
Zip
39501-3601
Phone Number
228-865-1330
Fax Number
228-865-1331
person
Provider Business Mailing Address Details
Address
1530 Broad Ave
City
State
Zip
39501-3601
Phone Number
228-865-1330
Fax Number
228-865-1331
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R725927 (Mississippi)
Definition
Definition to come...
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