| Doctor Name: | MRS. JENNIFER T PEPPERMAN |
| NPI Number: | 1295026268 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R861827 |
| Business Practice Address: | 13472 Vidalia Rd Pass Christian, MS - 395718300 |
| Business Phone Number: | 2285862455 |
| Business Fax Number: | 2285862457 |
| Mailing Address: | Po Box 1810, GULFPORT |
| State: | MS |
| Postal Code: | 395021810 |
| Phone Number: | 2285862455 |
| Fax Number: | 2285862457 |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 07/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R861827 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |