OrganizationActive
Memorial Hospital at Gulfport
NPI 1124392329 · Family Nurse Practitioner · Gulfport, MS
Provider details
- NPI number
- 1124392329
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Kent Nicaud, Office Manager/Administrator(228) 867-4000
- License
- R878630 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4500 13th St
Gulfport, MS 39501-2515
Phone: (228) 867-4000
Street-level locationGet directions
Mailing address
Po Box 555
Biloxi, MS 39533-0555
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2012-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.