MS. VICKY DIANNE MINNINGER CFNP - NPI 1346297090 - Nurse Practitioner in Jackson, MS

Q: What is Vicky Minninger's NPI number?

The NPI number for Vicky Minninger is 1346297090. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Vicky Minninger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Vicky Minninger was last updated on August 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Ms. Vicky Dianne Minninger Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. VICKY DIANNE MINNINGER CFNP (NPI 1346297090) is an individual nurse practitioner in Jackson, Mississippi, licensed in Mississippi (R638633) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1346297090

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. VICKY DIANNE MINNINGERCredential: CFNP

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6525 · Fax (601) 984-6764

Phone(601) 984-6525

Fax(601) 984-6764

Sole ProprietorNo

Enumeration DateMay 28, 2006

Last NPPES UpdateAugust 10, 2010

✔ NPI 1346297090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · R638633

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.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R638633 (MS)

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 8

Other512G700003Up Medicare

Medicare UPINS50998MS

Medicaid105774AL

Other500005456MS · Railroad

Medicare PIN512I500058MS

Medicare ID-Type Unspecified500000302MS

Medicaid0118842MS

Medicare UPIN500000302

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)