Jennifer Trump, NP | |
14116 Customs Blvd Ste 113, Gulfport, MS 39503-5165 | |
(833) 362-6703 | |
(855) 362-0778 |
Full Name | Jennifer Trump |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 14116 Customs Blvd Ste 113, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467952069 | NPI | - | NPPES |
03659322 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 902531 (Mississippi) | Primary |
Entity Name | Landmark Medical Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396498143 PECOS PAC ID: 8527453851 Enrollment ID: O20220323000117 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Trump, NP 14594 Bruce Cv S, Diberville, MS 39540-5824 Ph: (601) 307-8603 | Jennifer Trump, NP 14116 Customs Blvd Ste 113, Gulfport, MS 39503-5165 Ph: (833) 362-6703 |
Brittany Nicole Coleman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503 Phone: 228-575-2176 | |
Tracy Leigh Ladner, C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15200 Community Rd, Gulfport, MS 39503 Phone: 228-575-7000 | |
Heather Lyn Jeffrey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 | |
Mrs. Leigh P Drace, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507 Phone: 228-896-4417 Fax: 228-604-0121 | |
Ashley Barq House, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598 | |
Mrs. Carla Ann Rushing, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 13th St, Gulfport, MS 39501 Phone: 228-867-4000 | |
Mrs. Michelle Wright Taylor, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503 Phone: 228-539-3356 |