Individual
MS. MECHAEL M BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
913147
MS
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
913147
MS
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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