Graduated: 2016
NPI: 1922559012
Practice Locations (2)
PRIMESOURCE NURSING SERVICES, INC
370 COURTHOUSE RD, SUITE 106
GULFPORT, MS 395071889
2288651330
SAFE HARBOR CLINIC LLC
4013 BEATLINE RD, SUITE A
LONG BEACH, MS 395604135
2282000720
Source: CMS National Downloadable File, September 2026.