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Primesource Nursing Services, Inc
Gerontology Nurse Practitioner in Gulfport, Mississippi
NPI 1962573170

Primesource Nursing Services, Inc is a Gerontology Nurse Practitioner based in Gulfport, MS and is specialized in Gerontology. Primesource Nursing Services, Inc practices in Gulfport, MS. The NPI Number for Primesource Nursing Services, Inc is 1962573170 and holds a License No. (Mississippi).

The current practice location address for Primesource Nursing Services, Inc is 38 Pass Rd Ste A, Gulfport, MS and can be reached out via phone at 228-865-1330 and via fax at 228-865-1331. You can also correspond with Primesource Nursing Services, Inc through the mailing address at PO BOX 6705, GULFPORT, MS - 39506-6705 (mailing address contact number: 228-865-1330).

Location: 38 Pass Rd Ste A, Gulfport, MS, 39506-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962573170
Provider Name
Primesource Nursing Services, Inc
Credential
Provider Entity Type
Organization
Address
38 Pass Rd Ste A, Gulfport, MS, 39506-6705
Phone Number
228-865-1330
Fax Number
228-865-1331
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
06550237 05 MS
institution
Provider Business Practice Location Address Details
Address
38 Pass Rd Ste A
City
Gulfport
State
Mississippi
Zip
39507-3107
Phone Number
228-865-1330
Fax Number
228-865-1331
person
Provider Business Mailing Address Details
Address
Po Box 6705
City
Gulfport
State
Mississippi
Zip
39506-6705
Phone Number
228-865-1330
Fax Number
228-865-1331
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
7381 (Mississippi)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
7381 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
()
Definition
Definition to come...
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