Individual
VANESSA LOUISE MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5160 GALAXIE DR, JACKSON, MS 39206-4308
(601) 713-0890
(601) 366-3415
Mailing address
214 BARRINGTON DR, BYRAM, MS 39272-9239
(601) 832-0974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903727
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03138202
—
MS
01
—
1G0833
PTAN
—
01
—
903727
STATE LICENSE NUMBER
MS
Enumeration date
03/03/2020
Last updated
06/30/2025
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