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NPI Code Detail

MEDICARE: JANINE GRACE ANFONE ESPIRITU NP

MEDICARE: JANINE GRACE ANFONE ESPIRITU NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician903481MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1903481OTHERMSMS BOARD OF NURSING

General Provider Information

NPI Number : 1528541471
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE GRACE ANFONE ESPIRITU NP
Provider Business Mailing Address
First Line : 3650 GROVELAND RD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5754
Country : US
Telephone Number : 228-875-0780
Fax Number :
Provider Business Practice Location Address
First Line : 3650 GROVELAND RD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5754
Country : US
Telephone Number : 228-875-0780
Fax Number : 228-875-1009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2018
Last Update Date : 09/05/2019

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