NPI 1487410932

Shawanna Bumpers

Practitioner Driver Gulfport, MS

Practice location

Address: 16145 Orange Grove Rd STE A1, Gulfport, MS 39503-2966
Phone: (228) 547-9349
Fax: (228) 731-3182

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 800884908 (MS)

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Registry record

NPI: 1487410932
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Feb 2024
Record last updated: 22 Feb 2024

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.