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 is a Family Nurse Practitioner 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
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

Other providers in Vicksburg