Individual
MICHELLE VINCHWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
778 LIBERTY RD, FLOWOOD, MS 39232-9321
(769) 243-6141
Mailing address
4921 COURTHOUSE RD, GULFPORT, MS 39507-4246
(601) 540-1045
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R860390
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01567538
—
MS
Enumeration date
01/14/2008
Last updated
06/11/2026
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