Impacting Lives LLC
NPI #1063370831 in Oxford, Mississippi
Provider Information
- NPI Number
- 1063370831
- Entity Type
- Organization
- Organization Name
- Impacting Lives LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 12, 2026
- Last Updated
- Jan 12, 2026
Practice Location
- Address
- 2304 JACKSON AVE W STE 101
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5624
- Phone
- (662) 404-7177
Authorized Official
- Name
- MELISSA JEAN VINSON, NP
- Title
- OWNER
- Phone
- (662) 404-7177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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