JENNIFER C BUCKLEY, AGACNP-BC FNP-BC, Acute Care GULFPORT, MS

Contact Information

JENNIFER C BUCKLEY, AGACNP-BC FNP-BC

4500 13TH ST
GULFPORT, MS 39501-2569

Phone: 228-861-5255
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Acute Care	363LA2100X	50	Nurse Practitioner
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for JENNIFER C BUCKLEY · (Female)

NPI Number	`1598488660`
Status	Active
Credentials	AGACNP-BC FNP-BC
Entity	Individual
Enumeration date	09/22/2022
Last updated	09/22/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	MS License # 905386 MS Other 90538 MSBON
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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