NPI 1215232830
Jessica E Shores, IDC
Practice location
- Address
- 1000 Access Rd Bldg 2026, Pascagoula, MS 39567
- Phone
- (228) 935-3361
- Mailing address
- 1000 Access Rd Bldg 2026, Pascagoula, MS 39567-4485
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1215232830
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jan 2011
- Record last updated
- 4 Jun 2018
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.