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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. NICHOLAS ALEXANDER PUKISH JR., PA-C

Active

MR. NICHOLAS ALEXANDER PUKISH JR., PA-C is a Medical Physician Assistant healthcare provider located in BILOXI, Mississippi. NPI 1073539771 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BILOXI, MS

Registration Details

NPI Number
1073539771
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2006 (19.898991101498 yrs)
Last Updated
Jan 23, 2025
Licenses
PA 9100880 (FL)
PA00845 (MS)

Practice Information

Address
189 WALMART LN STE B
BILOXI, MS, 395314564
Browse MS providers · Browse ZIP 39531
Phone
6013686254
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BILOXI, MS

Name Credential NPI
MRS. SHERRI TAYLOR HODGES PA 1548240336
MURL D DOTSON PA-C 1972521144
ANGELA MARIE DAURO PA-C 1851421192
MARK GRIFFITH PA 1619007440
FRANCESCA ZENEIDA GALLUCCI 1316722143
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.