Heather Lyn Berry, NP
Nurse Practitioner, Family in Gulfport, MS. Individual provider (NPI-1).
NPI number1780148874
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1780148874
- Entity type
- Individual (NPI-1)
- Name
- Heather Lyn Berry
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2019
- Last updated
- Jan 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 903136 | MS | Yes |
Practice location
4500 13th StGulfport, MS 39501-2515
Phone 228-575-2020
Mailing address
4500 13th StGulfport, MS 39501-2515
Phone 228-575-2020
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