Individual provider · Type 1 NPI

Vicky Dianne Minninger, CFNP

Nurse Practitioner · Jackson, MS

NPI number 1346297090 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Fax (601) 984-6764

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR638633 (MS)
Nurse Practitioner Primary 363L00000XR638633 (MS)

Nurse Practitioner: (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 wit…

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About NPI 1346297090

Vicky Dianne Minninger, CFNP's National Provider Identifier is 1346297090, issued on May 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, MS. The record was last updated on Aug 10, 2010.