Banks, Michelle

Banks, Michelle is an individual health care provider with primary practice located at 2080 S Frontage Rd Suite T, Vicksburg MS 39180-5328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Banks, Michelle can be contacted via phone (601) 262-1000.

Contact Information

Primary practice address
2080 S Frontage Rd Suite T Vicksburg MS 39180-5328
Phone: (601) 262-1000
Fax: (601) 262-1009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R805638 Mississippi

Profile Details

NPI number 1811932064
LBN Legal business name Banks, Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Sep 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811932064 NPPES
Mississippi MEDICAID 00121754

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