MISS VICKI HELENE HATHORN NP
NPI 1205913886
Nurse Practitioner - Adult Health in Jackson, MS

Active since November 01, 2006
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471(601) 364-1305 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Vicki Helene Hathorn Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS VICKI HELENE HATHORN NP (NPI 1205913886) is an individual adult health provider in Jackson, Mississippi, licensed in Mississippi (R703869) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1205913886
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS VICKI HELENE HATHORNCredential: NP
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing AddressPo Box 1039Clinton, MS 39060-1039 · (601) 832-7096 · Fax (601) 364-1305
Fax(601) 364-1305
Sole ProprietorNo
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1205913886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MS · R703869
1500 E WOODROW WILSON AVE, Jackson, MS 39216

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Johnny ***** December 2, 2025

5/5
Great and very knowledgeable provider. Thank you VA.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicki Hathorn's NPI number?

The NPI number for Vicki Hathorn is 1205913886. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Vicki Hathorn located?

Vicki Hathorn practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Vicki Hathorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Vicki Hathorn was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.