person
Miss Vicki Helene Hathorn, NP
Adult Health Nurse Practitioner in Jackson, Mississippi
NPI 1205913886

Vicki Helene Hathorn is an Adult Health Nurse Practitioner based in Clinton, MS and is specialized in Adult Health. Vicki Helene Hathorn practices in Jackson, MS and has the professional credentials of NP. The NPI Number for Vicki Helene Hathorn is 1205913886 and holds a License No. R703869 (Mississippi).

The current practice location address for Vicki Helene Hathorn is 1500 E Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-362-4471 and via fax at 601-364-1305. You can also correspond with Vicki Helene Hathorn through the mailing address at PO BOX 1039, CLINTON, MS - 39060-1039 (mailing address contact number: 601-832-7096).

Location: 1500 E Woodrow Wilson Ave, Jackson, MS, 39060-1039
person
Provider Profile Details
NPI Number
1205913886
Provider Name
Vicki Helene Hathorn
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1500 E Woodrow Wilson Ave, Jackson, MS, 39060-1039
Phone Number
601-362-4471
Fax Number
601-364-1305
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Woodrow Wilson Ave
City
State
Zip
39216-5116
Phone Number
601-362-4471
Fax Number
601-364-1305
person
Provider Business Mailing Address Details
Address
Po Box 1039
City
State
Zip
39060-1039
Phone Number
601-832-7096
Fax Number
601-364-1305
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R703869 (Mississippi)
Definition
Definition to come...
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