NPI 1013882430

Garrett Rouse Garrett Rouse

Practitioner Case Manager/Care Coordinator Vicksburg, MS

Practice location

Address: 1905 Mission 66, Vicksburg, MS 39180-3711
Phone: (601) 738-5820

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1013882430
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Oct 2025
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.