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Vicksburg Clinic Llc
Family Nurse Practitioner in Vicksburg, Mississippi
NPI 1790711158

Vicksburg Clinic Llc is a Family Nurse Practitioner based in Franklin, MS and is specialized in Family. Vicksburg Clinic Llc practices in Vicksburg, MS. The NPI Number for Vicksburg Clinic Llc is 1790711158 and holds a License No. (Mississippi).

The current practice location address for Vicksburg Clinic Llc is 2100 Highway 61 N, Vicksburg, MS and can be reached out via phone at 601-883-5000.

Location: 2100 Highway 61 N, Vicksburg, MS, 37068-9022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790711158
Provider Name
Vicksburg Clinic Llc
Credential
Provider Entity Type
Organization
Address
2100 Highway 61 N, Vicksburg, MS, 37068-9022
Phone Number
601-883-5000
Fax Number
Provider Enumeration Date
06/25/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200002582 05 MS
1444596 05 LA
1446084 05 LA
institution
Provider Business Practice Location Address Details
Address
2100 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8211
Phone Number
601-883-5000
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Highway 61 N
City
Vicksburg
State
Mississippi
Zip
39183-8211
Phone Number
601-883-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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