Individual
BONNY SAUCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1911 MISSION 66 STE B, VICKSBURG, MS 39180-3762
(601) 456-2598
(855) 830-3484
Mailing address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
(888) 830-3484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R877836
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000451879
—
MS
01
—
P01402402
RR MEDICARE
MS
Enumeration date
08/24/2011
Last updated
01/06/2025
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