Individual provider · Type 1 NPI

Michelle Banks, NP

Nurse Practitioner · Vicksburg, MS

NPI number 1811932064 Active

Practice location

2080 S Frontage Rd, Suite T
Vicksburg, MS 39180-5328

Fax (601) 262-1009

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR805638 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811932064

Michelle Banks, NP's National Provider Identifier is 1811932064, issued on Jun 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vicksburg, MS. The record was last updated on Sep 29, 2026.