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VINCENT LEE SPINOSA-PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-C

Contact information

Practice address
109 E DONALD ST STE 3, QUITMAN, MS 39355-2310
(601) 830-5757
Mailing address
420 HIGHWAY 80, LAKE, MS 39092-9460
(901) 907-9901

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
27423
MS
363LF0000X
Family Nurse Practitioner
Primary
903858
MS

Other

Enumeration date
03/13/2020
Last updated
07/02/2026
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