SAMANTHA SHORTER VICKREY

SOUTHAVEN, MS
NPI1982079000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: AR  A004573)
Enumeration Date2015-12-01
Last Update Date2019-03-27
Business Address
SAMANTHA SHORTER VICKREY FNP
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672
Phone number: 662-890-5555
Mailing Address
SAMANTHA SHORTER VICKREY FNP
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672-9304
Phone number: 662-890-5555
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