Basic Information
| Provider Information | |||||||||
| NPI: | 1275792848 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MESSENGER | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1270 OCEAN SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | OCEAN SPRINGS | ||||||||
| State: | MS | ||||||||
| PostalCode: | 395643409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2288753033 | ||||||||
| FaxNumber: | 2288753989 | ||||||||
| Practice Location | |||||||||
| Address1: | 1270 OCEAN SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | OCEAN SPRINGS | ||||||||
| State: | MS | ||||||||
| PostalCode: | 395643409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2288753033 | ||||||||
| FaxNumber: | 2288753989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2008 | ||||||||
| LastUpdateDate: | 09/02/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | R865559 | MS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.