Organization · Type 2 NPI

Vicksburg Hma Physician MGMT

Family Nurse Practitioner · Vicksburg, MS

NPI number 1497188460 Active

Practice location

2080 S Frontage Rd, Ste 100
Vicksburg, MS 39180-5328

Fax (601) 262-1211

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR871321 (MS)

Family Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1497188460

Vicksburg Hma Physician MGMT's National Provider Identifier is 1497188460, issued on Aug 14, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vicksburg, MS. The record was last updated on Aug 14, 2013.