Jernigan Chiropractic Clinic Inc | |
2045 E Pass Rd Ste B, Gulfport, MS 39507-3761 | |
(228) 896-7574 | |
(228) 896-7579 |
Full Name | Jernigan Chiropractic Clinic Inc |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 2045 E Pass Rd Ste B, Gulfport, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275701781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Jeremy T Jernigan |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194864165 PECOS PAC ID: 6901875343 Enrollment ID: I20041001000205 |
Provider Name | Michael A Mckay |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649257858 PECOS PAC ID: 3971600735 Enrollment ID: I20070514000396 |
Provider Name | Katanya D Ford |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1083999130 PECOS PAC ID: 1850555350 Enrollment ID: I20120613000524 |
Provider Name | Kendrick Mccarty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649621368 PECOS PAC ID: 1153609730 Enrollment ID: I20161102001546 |
Provider Name | John Hassam |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902859176 PECOS PAC ID: 2062482748 Enrollment ID: I20220719001805 |
Provider Name | Michelle A Lins |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1982053799 PECOS PAC ID: 2365735578 Enrollment ID: I20220824003063 |
Provider Name | Heather E Hailey |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346825122 PECOS PAC ID: 2567818412 Enrollment ID: I20231027003520 |
Provider Name | Angelique Coffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962280545 PECOS PAC ID: 6103266598 Enrollment ID: I20240502001234 |
Provider Name | Mina K Whitmer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619000866 PECOS PAC ID: 3274791264 Enrollment ID: I20241030003782 |
Mailing Address | Practice Location Address |
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Jernigan Chiropractic Clinic Inc 2045 E Pass Rd Ste B, Gulfport, MS 39507-3761 Ph: (228) 896-7574 | Jernigan Chiropractic Clinic Inc 2045 E Pass Rd Ste B, Gulfport, MS 39507-3761 Ph: (228) 896-7574 |