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

LARRY BOURRAGE, RN

Active

LARRY BOURRAGE, RN is a Registered Nurse healthcare provider located in COLLINSVILLE, Mississippi. NPI 1528829512 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · COLLINSVILLE, MS

Registration Details

NPI Number
1528829512
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2024 (2.5413276583359 yrs)
Last Updated
Jan 17, 2024
License
R890304 (MS)

Practice Information

Address
12485 SCHAMBERVILLE LN
COLLINSVILLE, MS, 393259195
Browse MS providers · Browse ZIP 39325
Phone
6014804754
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in COLLINSVILLE, MS

Name Credential NPI
MS. SUE B. HALL RN 1174731244
MRS. LISA WILIAMS RN 1982948980
GINA V WHATLEY RN 1013629799
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.