MS. BONNIE LEE MOREHEAD (NPI# 1891894101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891894101 |
| Entity Type | Individual |
| Full Name | MS. BONNIE LEE MOREHEAD |
| Credential | CFNP |
| Practice Address |
204 Duval St Vicksburg MS 39183-8207 |
| Practice Telephone | 6016300132 |
| Mailing Telephone | 6016300132 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R851964 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811339682 | Bonnie Morehead | Dentist | 1507 W Yosemite Ave, Manteca, CA 95337-5159 | 2013-07-22 |
| Street Address |
204 DUVAL ST |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144831140 | Manivanh Prudhomme | Nurse Practitioner | 109 Airline Drive, Vicksburg, MS 39180-3918 | 2020-08-12 |
| 1225532450 | Tabitha Nicole Allen | Nurse Practitioner | 2080 S Frontage Rd Ste 106, Vicksburg, MS 39180-5882 | 2018-03-21 |
| 1164971131 | Janine Gibbs Larry | Nurse Practitioner | 139 Watkins Rd, Vicksburg, MS 39180-7291 | 2016-09-30 |
| 1326434564 | Elizabeth Hill | Nurse Practitioner | 4204 Clay St, Vicksburg, MS 39183-3438 | 2015-04-14 |
| 1033522073 | Aubri Bailey Hickman | Nurse Practitioner | 2050 Birdsong Rd, Vicksburg, MS 39183-9200 | 2014-06-07 |
| 1598230245 | Amanda Henson Gill | Nurse Practitioner | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180-5883 | 2018-10-09 |
| 1205343803 | Tonette Harris-haynes | Nurse Practitioner | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 | 2018-01-04 |
| 1881146306 | Kimberly Renee Kilpatrick | Nurse Practitioner | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2016-11-01 |
| 1659739787 | Denesia Y Giffin Pllc | Nurse Practitioner | 1901 Mission 66, Vicksburg, MS 39180-3711 | 2016-02-03 |
| 1346607447 | Debra Klinger | Nurse Practitioner | 13320 N Boulevard St, Vicksburg, MI 49097-1514 | 2016-01-20 |
| Find all providers in VICKSBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.