IndividualActive
Al Cervantes, RN
NPI 1366017006 · Registered Nurse · Hattiesburg, MS
Provider details
- NPI number
- 1366017006
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- R889967 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
1204 W 7th St
Hattiesburg, MS 39401-2823
Phone: (601) 909-6832
Fax: (601) 909-6891
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18679
Hattiesburg, MS 39404-8679
Registry dates
- Enumerated
- 2021-05-25
- Last updated
- 2021-05-28
- Certified
- 2021-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.