| Danielle Sheryl-lee Nelson, MD | |
|
2100 Us-61 N, Vicksburg, MS 39183 | |
| (601) 883-5000 | |
| Not Available |
| Full Name | Danielle Sheryl-lee Nelson |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2100 Us-61 N, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639757909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34428 (Mississippi) | Primary |
| Entity Name | Northwest Miss Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598458515 PECOS PAC ID: 3173969177 Enrollment ID: O20240610002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Sheryl-lee Nelson, MD 2100 Us-61 N, Vicksburg, MS 39183 Ph: (601) 883-5000 | Danielle Sheryl-lee Nelson, MD 2100 Us-61 N, Vicksburg, MS 39183 Ph: (601) 883-5000 |
Lisa D Fairchild, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Thomas C Moore, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1115 N Frontage Rd, Vicksburg, MS 39180 Phone: 601-634-8790 | |
Dr. Izzeddin Kamelmaz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-6001 | |
Constance Phylea Barnes-woods, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-3391 Fax: 601-883-3318 | |
Elizabeth N Roy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Geri L Weiland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 |