Purvis, Cherryl D

Purvis, Cherryl D is an individual health care provider with primary practice located at 15444 Dedeaux Rd Ste B , Gulfport MS 39503-2637. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Purvis, Cherryl D can be contacted via phone (228) 832-9038.

Contact Information

Primary practice address
15444 Dedeaux Rd Ste B Gulfport MS 39503-2637
Phone: (228) 832-9038
Fax: (228) 832-9990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R655481 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R655481 Mississippi

Profile Details

NPI number 1386772283
LBN Legal business name Purvis, Cherryl D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Oct 7th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386772283 NPPES
Mississippi MEDICAID 00201815
Mississippi Other R655481

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