Healthcare Provider Details

I. General information

NPI: 1558306712
Provider Name (Legal Business Name): REGINA L ESCHER C.F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GINA L ESCHER CFNP

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15012 LEMOYNE BLVD
BILOXI MS
39532-5205
US

IV. Provider business mailing address

15012 LEMOYNE BLVD
BILOXI MS
39532-5205
US

V. Phone/Fax

Practice location:
  • Phone: 228-392-5050
  • Fax: 228-392-5342
Mailing address:
  • Phone: 228-392-5050
  • Fax: 228-392-5342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR753324
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: