Individual
BRISTYN D VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3621 22ND ST STE 400, LUBBOCK, TX 79410-1302
(806) 791-8484
(806) 791-8499
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 725-6532
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
1094003
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1094003
TX
Other
Enumeration date
09/15/2022
Last updated
10/24/2022
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