Michelle Banks, NP Valid NPI
Individual provider · Nurse Practitioner · Vicksburg, MS
- NPI
- 1811932064
- Type
- Individual (Type 1)
- Primary specialty
- Nurse Practitioner
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363L00000X
- License number
- R805638 (MS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-06-19
- Last updated
- 2008-09-17
Practice location
2080 S Frontage Rd, Suite T
Vicksburg, MS 39180-5328
(601) 262-1000