Individual
WREN NIGHTENGALE VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
218584
LA
363LF0000X
Family Nurse Practitioner
Primary
901912
MS
Other
Enumeration date
01/12/2017
Last updated
11/03/2023
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