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Ms. Vicky Dianne Minninger, CFNP
Nurse Practitioner in Jackson, Mississippi
NPI 1346297090

Vicky Dianne Minninger is a Nurse Practitioner based in Jackson, MS. Vicky Dianne Minninger practices in Jackson, MS and has the professional credentials of CFNP. The NPI Number for Vicky Dianne Minninger is 1346297090 and holds a License No. R638633 (Mississippi).

The current practice location address for Vicky Dianne Minninger is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-6525 and via fax at 601-984-6764. You can also correspond with Vicky Dianne Minninger through the mailing address at 2500 N STATE ST, JACKSON, MS - 39216-4500 (mailing address contact number: 601-984-6525).

Location: 2500 N State St, Jackson, MS, 39216-4500
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Provider Profile Details
NPI Number
1346297090
Provider Name
Vicky Dianne Minninger
Credential
CFNP
Provider Entity Type
Individual
Gender
Female
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-984-6525
Fax Number
601-984-6764
Provider Enumeration Date
05/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500005456 01 MS RAILROAD
0118842 05 MS
105774 05 AL
512G700003 01 UP MEDICARE
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6525
Fax Number
601-984-6764
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6525
Fax Number
601-984-6764
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
R638633 (Mississippi)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R638633 (Mississippi)
Definition
Definition to come...
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