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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANIVANH A PRUDHOMME, MSN, FNP-BC, AGACNP-

Active

MANIVANH A PRUDHOMME, MSN, FNP-BC, AGACNP- is a Family Nurse Practitioner healthcare provider located in VICKSBURG, Mississippi. NPI 1144831140 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · VICKSBURG, MS

Registration Details

NPI Number
1144831140
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2020 (5.980657158401 yrs)
Last Updated
Jul 13, 2021
License
904068 (MS)

Practice Information

Address
2011 HIGHWAY 61 N
VICKSBURG, MS, 391833918
Browse MS providers · Browse ZIP 39183
Phone
0145622776
Fax
6014562622
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in VICKSBURG, MS

Name Credential NPI
MRS. KAY K MCDANIEL FNP 1538100144
RHONDA KEMP FNP 1487683520
MS. BONNIE LEE MOREHEAD CFNP 1891894101
MELISSA YOUNG 1184768780
BRANDON J CRAFT NP 1245431493
MRS. LESIA THOMAS FNP-C 1649419334
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.