=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841695517
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GINA ESCHER CFNP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2014
-----------------------------------------------------
Last Update Date | 03/07/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6809 HIGHWAY 90 E
-----------------------------------------------------
City | OCEAN SPRINGS
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39564-8655
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-297-5568
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9412 WILD OAKS LN
-----------------------------------------------------
City | OCEAN SPRINGS
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39564-8599
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 228-297-5568
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/NURSE PRACTITIONER
-----------------------------------------------------
Name | GINA ESCHER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 228-297-5568
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number | R753324
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------