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Jeremy Stover, IDC
NPI 1104006246 · Independent Duty Corpsman · Gulfport, MS
Jeremy Stover, IDC is a Independent Duty Corpsman provider in Gulfport, MS (NPI 1104006246).
Provider details
- NPI number
- 1104006246
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55101 Marvin Shields Blvd
Gulfport, MS 39501
Phone: (228) 229-0411
Approximate (ZIP-level) locationGet directions
Mailing address
55101 Marvin Shields Blvd
Gulfport, MS 39501
Registry dates
- Enumerated
- 2007-11-06
- Last updated
- 2007-11-06
Frequently asked questions
- What is Jeremy Stover's NPI number?
- Jeremy Stover's National Provider Identifier (NPI) is 1104006246, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Stover's specialty?
- Jeremy Stover is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jeremy Stover located?
- Jeremy Stover's practice location on file with NPPES is 55101 Marvin Shields Blvd, Gulfport, MS 39501.
- What is Jeremy Stover's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Stover is (228) 229-0411.
- Is Jeremy Stover's NPI active?
- Yes — Jeremy Stover's NPI (1104006246) is active in the NPPES registry as of the last update on 2007-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.