MISS VICKI HELENE HATHORN NP NPI 1205913886

NPI Information

  • NPI: 1205913886
  • Provider Name: MISS VICKI HELENE HATHORN, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 1500 E WOODROW WILSON AVE
    JACKSON, MS
    ZIP 39216
  • Phone: (601) 362-4471

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NPI Details

MISS Vicki Helene Hathorn, NP is an adult health nurse practitioner in Jackson, MS. MISS Vicki Helene Hathorn, NP NPI is 1205913886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-116
Phone: (601) 362-4471
Fax: (601) 364-1305

The enumeration date for this NPI number is 11/1/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthR703869MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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