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Pass Road Elementary — NPI 1154543528, Gulfport, MS | NPI Central

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NPI 1154543528

OrganizationActive

Pass Road Elementary

NPI 1154543528 · School Registered Nurse · Gulfport, MS

Provider details

NPI number: 1154543528
Entity type: Organization
Primary specialty: School Registered NurseNursing Service Providers
Organization subpart: No
Authorized official: Stacey Waldrop, School Nurse(228) 865-4659
License: R772068 (MS)

Specialties & taxonomies

School Registered NursePrimary163WS0200XLicense R772068 (MS)
Nursing Service Providers

Practice location

37 Pass Road

Gulfport, MS 39507

Phone: (228) 865-4659

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

37 Pass Road

Gulfport, MS 39507

Other names (DBA / former)

Other name: Healthy Kids Clinic at Pass Road Elementary

Registry dates

Enumerated: 2007-05-03
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.