Individual
MELODIE CAROL VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
700 NORTHSIDE DR, NEWTON, MS 39345-2361
(601) 683-4300
(601) 683-4303
Mailing address
700 NORTHSIDE DR, NEWTON, MS 39345-2361
(601) 683-4300
(601) 683-4303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902713
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
902713
MS
Other
Enumeration date
09/18/2018
Last updated
12/15/2025
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