Individual
ASHLEY VINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 865-3634
Mailing address
8864 KIPAPA CT, DIAMONDHEAD, MS 39525-4204
(228) 342-4577
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
898215
MS
163W00000X
Registered Nurse
RN125516
LA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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