Vincent, Sheryll Angela

Vincent, Sheryll Angela is an individual health care provider with primary practice located at 5440 Watkins Dr Ste A, Jackson MS 39206-2034. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Vincent, Sheryll Angela can be contacted via phone (601) 981-3636.

Contact Information

Primary practice address
5440 Watkins Dr Ste A Jackson MS 39206-2034
Phone: (601) 981-3636
Fax: (601) 982-5335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 14014 Mississippi

Profile Details

NPI number 1063479723
LBN Legal business name Vincent, Sheryll Angela
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jun 15th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063479723 NPPES
Mississippi MEDICAID 00116035

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