IndividualActive
Chermaine Mcinnis
NPI 1053259770 · Prosthetist · Gulfport, MS
Provider details
- NPI number
- 1053259770
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1258752 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
15051 Parkwood Dr N
Gulfport, MS 39503-2557
Phone: (228) 760-0203
Approximate (ZIP-level) locationGet directions
Mailing address
15051 Parkwood Dr N
Gulfport, MS 39503-2557
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.