Jared Lee Vinson, DO
Internal Medicine in Keesler Afb, MS. Individual provider (NPI-1).
NPI number1164087631
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1164087631
- Entity type
- Individual (NPI-1)
- Name
- Jared Lee Vinson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2019
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | DR.0068113 | CO | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
81 Mdss/Gme301 Fisher St, Rm1g123
Keesler Afb, MS 39534
Phone 228-376-3728
Mailing address
81 Mdss/Gme301 Fisher St, Rm 1g123
Keesler Afb, MS 39534
Phone 228-376-3728
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Other Internal Medicine Physician providers in Keesler Afb, MS
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- Nicole Marie Lopez, MDNPI 1851034110
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- John Waldron, MDNPI 1851030852
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All 8 Internal Medicine Physician providers in Keesler Afb · All 171 providers in Keesler Afb
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