NPI 1053259770

Chermaine McInnis

Practitioner Prosthetist Gulfport, MS

Practice location

Address: 15051 Parkwood Dr N, Gulfport, MS 39503-2557
Phone: (228) 760-0203

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1258752 (MS)

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Registry record

NPI: 1053259770
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2026
Record last updated: 23 Mar 2026

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.