Vickrey, Samantha Shorter
Vickrey, Samantha Shorter is an individual health care provider with primary practice located at 3451 Goodman Rd E Ste 115 , Southaven MS 38672. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vickrey, Samantha Shorter can be contacted via phone (662) 890-5555.Contact Information
Primary practice address
3451 Goodman Rd E Ste 115
Southaven MS 38672
Phone: (662) 890-5555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A004573 | Arkansas |
Profile Details
| NPI number | 1982079000 |
|---|---|
| LBN Legal business name | Vickrey, Samantha Shorter |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2015 |
| Last updated | Mar 27th, 2019 - about 7 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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