Advanced Healthcare Specialist
Nurse Practitioner, Family in Gulfport, MS. Organization (NPI-2).
NPI number1760004774
StatusActive
Last updated in NPPESApr 14, 2026
Details
- NPI
- 1760004774
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Healthcare Specialist
- Organization subpart
- No
- Enumeration date
- May 12, 2020
- Certification date
- Apr 14, 2026
- Last updated
- Apr 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Other names
- Advanced Healthcare Specialist (Doing Business As)
Practice location
12407 Highway 49 Ste 2Gulfport, MS 39503-4091
Phone 228-596-5749 · Fax 228-269-0002
Mailing address
12407 Highway 49 Ste 2Gulfport, MS 39503-4091
Phone 228-596-5749 · Fax 228-269-0002
Authorized official
Rhonda Foles
Owner
2285965749
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