Individual
MRS. BOBBIE G VANSLYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
4749 S EASON BLVD, TUPELO, MS 38801-6547
(662) 350-0821
(662) 350-0765
Mailing address
209 HAZEL RD, RIPLEY, MS 38663-1640
(662) 587-5042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
861268
MS
363LF0000X
Family Nurse Practitioner
R861268
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R861268
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007203
—
MS
Enumeration date
02/28/2007
Last updated
08/28/2025
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