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NPI Code Detail

MEDICARE: PAIGE POWELL

MEDICARE:   PAIGE  POWELL
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
1363LC0200XCritical Care Medicine Nurse Practitioner907266MS
2363LA2100XAcute Care Nurse Practitioner907266MS

General Provider Information

NPI Number : 1639977135
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE POWELL
Provider Business Mailing Address
First Line : 16448 GRANDWAY BLVD
Second Line :
City : SAUCIER
State : MS
Zip : 39574-6010
Country : US
Telephone Number : 228-861-4935
Fax Number :
Provider Business Practice Location Address
First Line : 3635 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-5711
Country : US
Telephone Number : 228-872-1951
Fax Number : 228-875-9998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2025
Last Update Date : 04/16/2026

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Directions to “ PAIGE POWELL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.