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

Mrs. Vicki Nicole Lary, CFNP

Individual provider Family Nurse Practitioner · NPI 1083788665

Mrs. Vicki Nicole Lary, CFNP is a Nurse Practitioner in Itta Bena, Mississippi. Qualified in 2006, 20 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2006

Practice location Address checks out

103 Basket St
Itta Bena, MS 38941-2801
Phone: (662) 254-7801
Fax: (662) 254-9173
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 R860262 (MS)

Record details

NPI number1083788665
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESMarch 30, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Itta Bena