Individual
JENNY LYNN VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7973 THUNDER BLVD, FORT CAMPBELL, KY 42223-5531
(270) 412-1542
(270) 412-6802
Mailing address
7973 THUNDER BLVD, FORT CAMPBELL, KY 42223-5531
(270) 412-1542
(270) 412-6802
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91185
TN
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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