Vickie D Long (NPI# 1063649200, PAC ID# 5698826048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063649200 |
| PAC ID by PECOS | 5698826048 |
| Professional Enrollment ID | I20141119000042 |
| Full Name | Vickie D Long |
| Address |
9684 Old Goodman Rd Olive Branch MS 38654-1726 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9684 Old Goodman Rd, Olive Branch, MS 38654-1726 |
| Street Address |
9684 OLD GOODMAN RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip | 38654-1726 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Musso | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Clare E Benson | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Shavon Conerly | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Steven Hopkins | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Nicholas Bailey | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Emily Michele Terrell | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| John H Desutter | Chiropractic | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Shailesh Patel | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| John W Allen Jr. | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Find all physicians in zip 38654 | |||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OLIVE BRANCH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Vickie D Long.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.