| Mrs Virgie C Wade, FNP | |
|
130 North High St, Shubuta, MS 39360 | |
| (601) 687-1391 | |
| (601) 687-0051 |
| Full Name | Mrs Virgie C Wade |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 130 North High St, Shubuta, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457477481 | NPI | - | NPPES |
| 011312 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R119030 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Virgie C Wade, FNP 300 County Road 275, Vossburg, MS 39366-9475 Ph: (601) 776-2052 | Mrs Virgie C Wade, FNP 130 North High St, Shubuta, MS 39360 Ph: (601) 687-1391 |
Mr. Robert William Dycus, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 N. High Street, Shubuta, MS 39360 Phone: 601-687-1391 | |
Shanika Boyd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051 | |
Patricia Simpson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391 | |
Karen Parker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130n High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051 | |
Chasity Michelle Sisson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391 |