Individual
MELISSA JEAN VINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
474 W BANKHEAD ST, NEW ALBANY, MS 38652
(662) 534-7777
(662) 534-7777
Mailing address
607 E WIYGUL ST, FULTON, MS 38843-8996
(662) 871-8584
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R518921
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04558541
—
MS
Enumeration date
08/14/2017
Last updated
08/22/2018
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