MANIVANH PRUDHOMME, MSN, FNP-BC, AGACNP-

MSN, FNP-BC, AGACNP-

Family Nurse Practitioner

NPI: 1144831140IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

904068(MS)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2020

Contact & Hours

Address: 2011 HIGHWAY 61 N
VICKSBURG, MS 39183
Phone: (014) 562-2776

Quick Facts

NPI: 1144831140
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 6

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