| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194864165 PECOS PAC ID: 6901875343 Enrollment ID: I20041001000205 |
| Provider Name | Michael A Mckay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649257858 PECOS PAC ID: 3971600735 Enrollment ID: I20070514000396 |
| Provider Name | Katanya D Ford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083999130 PECOS PAC ID: 1850555350 Enrollment ID: I20120613000524 |
| Provider Name | Kendrick Mccarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649621368 PECOS PAC ID: 1153609730 Enrollment ID: I20161102001546 |
| Provider Name | John Hassam |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902859176 PECOS PAC ID: 2062482748 Enrollment ID: I20220719001805 |
| Provider Name | Michelle A Lins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1982053799 PECOS PAC ID: 2365735578 Enrollment ID: I20220824003063 |
| Provider Name | Angelique Coffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962280545 PECOS PAC ID: 6103266598 Enrollment ID: I20240502001234 |
| Provider Name | Mina K Whitmer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619000866 PECOS PAC ID: 3274791264 Enrollment ID: I20241030003782 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |