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

Individual provider Family Nurse Practitioner · NPI 1982079000

Samantha Shorter Vickrey, FNP is a Nurse Practitioner in Southaven, Mississippi. Qualified in 2015, 11 years ago. Practices with Family Medical Clinic of North MS Inc, a 13-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2015
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3451 Goodman Rd E Ste 115
Southaven, MS 38672
Phone: (662) 890-5555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A004573 (AR)

Record details

NPI number1982079000
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 1, 2015
Last updated in NPPESMarch 27, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Family Medical Clinic Of North Ms Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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