CARYL JEAN MOULDER (NPI# 1730362872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730362872 |
| Entity Type | Individual |
| Full Name | CARYL JEAN MOULDER |
| Credential | RN |
| Practice Address |
5503 Marvin Shields Blvd Gulfport MS 39501-9007 |
| Practice Telephone | 2283263031 |
| Mailing Telephone | 2283263031 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R869685 | MS | Nursing Service Providers |
| Street Address |
5503 MARVIN SHIELDS BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508828161 | Thomas E Gilham II | Military Health Care Provider | 5503 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2006-04-06 |
| 1760691810 | Richard A Roque | Military Health Care Provider | 5503 Marvin Shields Blvd, Sea Bee Base Clinic, Gulfport, MS 39501 | 2007-05-22 |
| 1972629970 | Thomas Jeffrey Ruffner | Military Health Care Provider | 5503 Marvin Shields Blvd, Nhbc Gulfport, Gulfport, MS 39501-9007 | 2007-03-21 |
| 1649205014 | Jeremy Douglas Hayes | Dentist | 5503 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2006-07-12 |
| 1194750513 | Daniel Albert Regan | Dentist | 5503 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406531 | Jennifer Key Jernighan | Registered Nurse | 139 Belle Meade Dr, Saltillo, MS 38866-9396 | 2020-11-01 |
| 1225518749 | Nurse To Go, LLC. | Registered Nurse | 540 Parker Dr, Byram, MS 39272-4501 | 2018-08-14 |
| 1558876391 | Dondria Palmer | Registered Nurse | 109 Old Canton Hill Dr, Jackson, MS 39211-3337 | 2017-12-01 |
| 1376952101 | Eva Johnson | Registered Nurse | 22 Millbranch Rd, Hattiesburg, MS 39402-1670 | 2014-08-06 |
Please comment or provide details below to improve the information on CARYL JEAN MOULDER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.