Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILLIAN R DEDEAUX, CSFA
ActiveSurgical Physician Assistant · GULFPORT, MS
Registration Details
- NPI Number
- 1710566336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2021 (5.0846639047109 yrs)
- Last Updated
- Apr 2, 2021
Practice Information
- Address
-
14247 N SWAN RDGULFPORT, MS, 395038551Browse MS providers · Browse ZIP 39503
- Phone
- 2282976640
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. TINA M MCGINTY | CSFA | 1528275633 |
| MR. DARRELL BERNARD COLLIERS | CFA PA | 1588829048 |
| JAMES P JUNKINS | PA-C | 1386978153 |
| MR. CHRISTOPHER LAWRENCE SWEEBE | CSFA | 1376840173 |
| LATRICIA ROCHELLE ALLEN | CSFA | 1366864811 |
| JOHN MIYAKAWA | PHYSICIAN ASSISTANT | 1245613694 |
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.