Individual
VICKIE L WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4555 HIGHLAND PARK DR, MERIDIAN, MS 39307-5429
(601) 581-7600
Mailing address
4711 POPLAR SPRING DRIVE, MERIDIAN, MS 39305-2622
(601) 934-5924
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R619612
MS
Other
Enumeration date
01/13/2016
Last updated
03/07/2023
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