Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vicksburg Hma Physician Mgmt

Organization Family Nurse Practitioner · NPI 1497188460

Vicksburg Hma Physician Mgmt provides Family Nurse Practitioner services in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013

Practice location Address checks out

2080 S Frontage Rd Ste 100
Vicksburg, MS 39180-5328 Not confirmed with CMS for 13 years — call before visiting
Phone: (601) 262-1000
Fax: (601) 262-1211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R871321 (MS)

Record details

NPI number1497188460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Moore — Practice Administrator · (601) 262-1000
Other names Medical Associates Of Vicksburg
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 14, 2013
Mailing address2080 S Frontage Rd, Ste 100, Vicksburg, MS 39180-5328

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