Individual
MRS. SHELBY PATRICIA PRIMEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
904718
MS
363L00000X
Nurse Practitioner
Primary
904718
MS
Other
Enumeration date
06/30/2021
Last updated
02/17/2026
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