location
search-icon
institution
Vicksburg Clinic Llc
Family Nurse Practitioner in Vicksburg, Mississippi
NPI 1790711158

Vicksburg Clinic Llc is a Family Nurse Practitioner based in Brentwood, 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 1907 Mission 66, Vicksburg, MS and can be reached out via phone at 601-636-1173. You can also correspond with Vicksburg Clinic Llc through the mailing address at 7100 COMMERCE WAY, BRENTWOOD, TN - 37027-2829 (mailing address contact number: ).

Location: 1907 Mission 66, Vicksburg, MS, 37027-2829
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
1907 Mission 66, Vicksburg, MS, 37027-2829
Phone Number
601-636-1173
Fax Number
Provider Enumeration Date
06/25/2006
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1444596 05 LA
1446084 05 LA
01882015 05 MS
09015550 05 MS
institution
Provider Business Practice Location Address Details
Address
1907 Mission 66
City
Vicksburg
State
Mississippi
Zip
39180-3711
Phone Number
601-636-1173
Fax Number
person
Provider Business Mailing Address Details
Address
1907 Mission 66
City
Vicksburg
State
Mississippi
Zip
39180-3711
Phone Number
601-636-1173
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...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.