Vicksburg Clinic Llc in Vicksburg - Nurse Practitioner
Vicksburg Clinic Llc - NPI 1659307791
Vicksburg Clinic Llc is a Nurse Practitioner in Vicksburg, Mississippi. Vicksburg Clinic Llc practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Vicksburg Clinic Llc is 1659307791. The last update date is 2008-11-25.
Vicksburg Clinic Llc's current location address is 1115 N Frontage Rd, Vicksburg, Mississippi. You can contact this provider via phone number 6016348790. The mailing address for Vicksburg Clinic Llc is 1115 N Frontage Rd, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Vicksburg Clinic Llc |
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Address | 1115 N Frontage Rd, Vicksburg, Mississippi |
Phone Number | 6016348790 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECTOR O |
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Authorized Official Name | Brewer T Debbie |
Telephone Number | 8778929813 |
NPI Number Detail
NPI Number | 1659307791 |
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Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2008-11-25 |
Provider Mailing Address Detail
Address | 1115 N Frontage Rd |
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City | Vicksburg |
State | Mississippi (MS) |
Post Code | 391805102 |
Phone Number | 6016348790 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Definition: (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 certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
9015545 | MS | -- | |
9015549 | MS | -- | |
9015546 | MS | -- | |
9015547 | MS | -- | |
1111716 | LA | -- | |
720204 | MS | -- |
Post Comment/ Review Below
What is the Vicksburg Clinic Llc's 1659307791?
The Vicksburg Clinic Llc's NPI (National Provider Identifier) Number is 1659307791. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Vicksburg Clinic Llc is located?
The Vicksburg Clinic Llc is situated at the following address: 1115 N Frontage Rd, Vicksburg, MS, 391805102.
What is the Vicksburg Clinic Llc's area of specialization and corresponding taxonomy classification?
The Vicksburg Clinic Llc's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did Vicksburg Clinic Llc receive its 1659307791 assignment from the Centers for Medicare & Medicaid Services?
The Vicksburg Clinic Llc was assigned its 1659307791 on 2006-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Vicksburg Clinic Llc most recently updated or refreshed?
The details pertaining to the Vicksburg Clinic Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-11-25.
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