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.

IndividualActive

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

Independent Duty CorpsmanPrimary1710I1002X
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

More MS providers

Mailing address