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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

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