Shannon Vinson, NP
Nurse Practitioner, Family in Hernando, MS. Individual provider (NPI-1).
NPI number1043662398
StatusActive
Last updated in NPPESNov 14, 2018
Details
- NPI
- 1043662398
- Entity type
- Individual (NPI-1)
- Name
- Shannon Vinson
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2016
- Last updated
- Nov 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 901618 | MS | Yes |
| 163W00000X | Registered Nurse | 889627 | MS |
Practice location
2670 McIngvale Rd Ste HHernando, MS 38632-8695
Phone 662-429-4988 · Fax 662-298-2186
Mailing address
7271 Allison RdOlive Branch, MS 38654-9203
Phone 901-292-4992
Other practice locations
7691 Poplar Ave
Germantown, TN 38138-3904
Germantown, TN 38138-3904
Phone 901-516-6970
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