Individual
VINCENT LEE SPINOSA-PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
5056 MAIDEN LANE CV, SOUTHAVEN, MS 38672-6000
(901) 907-9901
Mailing address
2670 MCINGVALE RD, STE H, HERNANDO, MS 38632-8695
(901) 907-9901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903858
MS
Other
Enumeration date
03/13/2020
Last updated
07/09/2021
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