Riverbend Healthcare PLLC
Riverbend Healthcare PLLC is a Clinic/Center in Vicksburg, Mississippi. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2011 Hwy 61 NVicksburg, MS 39183
Phone: (601) 456-2277
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X |
Record details
| NPI number | 1417620071 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Manivanh Prudhomme — Ceo · (601) 456-2277 |
| NPI enumerated | July 29, 2021 |
| Last updated in NPPES | January 17, 2023 |
| Certification date | January 17, 2023 |
| Mailing address | Po Box 29841, Belfast, ME 04915-2050 |
Other providers in Vicksburg
-
Quad Intermed Company LLC
4204 Clay St, Vicksburg, MS 39183-3438 · (601) 619-7717