| Dr Devinna Bahadur, DNP, MSN, AGACN-BC | |
|
2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 | |
| (601) 564-7070 | |
| (601) 636-6233 |
| Full Name | Dr Devinna Bahadur |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2080 S Frontage Rd Ste 107, 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 |
|---|---|---|---|
| 1235857236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 902332 (Mississippi) | Primary |
| Entity Name | Jackson Neurosurgery Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740364785 PECOS PAC ID: 1254315088 Enrollment ID: O20040617000789 |
| Entity Name | Wound Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568793750 PECOS PAC ID: 0840314548 Enrollment ID: O20160920000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Devinna Bahadur, DNP, MSN, AGACN-BC 2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 Ph: (601) 564-7070 | Dr Devinna Bahadur, DNP, MSN, AGACN-BC 2080 S Frontage Rd Ste 107, Vicksburg, MS 39180-5882 Ph: (601) 564-7070 |
Jenifer Justice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1911 Mission 66 Ste B, Vicksburg, MS 39180 Phone: 014-562-5986 Fax: 855-830-3484 | |
Mrs. Kimberly Fuller, MSN, ACNP - BS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Mrs. Latasha Jackson Claiborne, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3444 Wisconsin Ave, Vicksburg, MS 39180 Phone: 601-638-0031 | |
Nina Tomlinson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 | |
Linda Cheslek, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Monroe St, Vicksburg, MS 39183 Phone: 601-636-4356 | |
Kerrie Sanders- Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4077 Pemberton Square Blvd, Vicksburg, MS 39180 Phone: 601-638-8600 | |
Manivanh A Prudhomme, MSN, FNP-BC, AGACNP- Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 Highway 61 N, Vicksburg, MS 39183 Phone: 014-562-2776 Fax: 601-456-2622 |