NPI 1689417115

Kapria Nunnally, CPSS

Practitioner Peer Specialist Gulfport, MS

Practice location

Address: 1600 Broad Ave, Gulfport, MS 39501-3603
Phone: (228) 213-5888
Mailing address: PO Box 18679, Hattiesburg, MS 39404-8679

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 830 (MS)

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Registry record

NPI: 1689417115
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2024
Record last updated: 13 Jun 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.