Healthcare Provider Details

I. General information

NPI: 1194639187
Provider Name (Legal Business Name): VANESSA LADNIER MS, RD
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VETERANS AVE
BILOXI MS
39531-2410
US

IV. Provider business mailing address

400 VETERANS AVE
BILOXI MS
39531-2410
US

V. Phone/Fax

Practice location:
  • Phone: 228-385-6714
  • Fax:
Mailing address:
  • Phone: 228-385-6714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1034531
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: