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Individual

VANESSA K. SLUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2778 HIGHWAY 51 S, SENATOBIA, MS 38668-9403
(662) 429-4988
(662) 429-4966
Mailing address
2778 HIGHWAY 51 S, SENATOBIA, MS 38668-9403
(662) 429-4988
(662) 429-4966

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R868378
MS
363LP2300X
Primary Care Nurse Practitioner
R868378
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004073558
MS
Enumeration date
09/15/2009
Last updated
04/03/2024
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