Search › Mississippi › Family Nurse Practitioner
Manivanh Prudhomme, MSN, FNP-BC, AGACNP-
NPI 1144831140 · on the registry since 2020
Practice
- Address
- 2011 Highway 61 N
Vicksburg, MS 39183 - Phone
- (014) 562-2776
- Fax
- (601) 456-2622
- Organisation at this address
- Riverbend Eyecare, P.A.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi