Individual provider · Type 1 NPI

Vicki Helene Hathorn, NP

Adult Health Nurse Practitioner · Jackson, MS

NPI number 1205913886 Active

Practice location

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116

Fax (601) 364-1305

Mailing address

PO Box 1039
Clinton, MS 39060-1039

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XR703869 (MS)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1205913886

Vicki Helene Hathorn, NP's National Provider Identifier is 1205913886, issued on Nov 1, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jackson, MS. The record was last updated on Jul 21, 2022.