Individual
VANESSA WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
830 S GLOSTER ST, 4TH FLOOR EAST TOWER, TUPELO, MS 38801-4934
(662) 377-7150
(662) 377-7155
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R867416
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02394
MEDICARE GROUP
MS
Enumeration date
10/04/2007
Last updated
08/14/2017
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