Provider Demographics
NPI:1851693840
Name:USHER, LOUISE H (FNP-BC)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:H
Last Name:USHER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 BEACH DR
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-1553
Mailing Address - Country:US
Mailing Address - Phone:228-897-4469
Mailing Address - Fax:
Practice Address - Street 1:10275 BLACK GUM DR
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39565-5319
Practice Address - Country:US
Practice Address - Phone:662-308-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-23
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR637173363LF0000X
FLAPRN11014462363LF0000X, 363LP0808X
UT12415863-4405363LF0000X, 363LP0808X
AZ264524363LF0000X
NY404081363LF0000X, 363LP0808X
IL209024904363LF0000X, 363LP0808X
WAAP61223784363LF0000X, 363LP0808X
MS637173363LP0808X
AZ363LF0000X363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily