IndividualActive
Zachary Scruggs, RN
NPI 1043925423 · Psychiatric/Mental Health Registered Nurse · Gulfport, MS
Provider details
- NPI number
- 1043925423
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 61373376 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
14158 Sanctuary Trl
Gulfport, MS 39503-5740
Phone: (601) 528-0538
Approximate (ZIP-level) locationGet directions
Mailing address
14158 Sanctuary Trl
Gulfport, MS 39503-5740
Additional practice locations (1)
- 14158 Sanctuary TrlGulfport, MS 39503-5740Phone: (601) 528-0538
Registry dates
- Enumerated
- 2023-01-19
- Last updated
- 2023-01-19
- Certified
- 2023-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.