Active NPI
Jenny Lynn Vinson, LPN
- Licensed Practical Nurse
- Fort Campbell, KY
National Provider Identifier
1124710868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 91185
- Practice address
- 7973 Thunder Blvd
Fort Campbell, KY 42223-5531 - Phone
- (270) 412-1542
- Fax
- (270) 412-6802
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 91185 | TN | Primary |
Addresses
Primary practice location
7973 Thunder Blvd
Fort Campbell, KY 42223-5531
Mailing address
7973 Thunder Blvd
Fort Campbell, KY 42223-5531
Phone (270) 412-1542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91185 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1124710868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7973 THUNDER BLVD",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235531",
"telephone_number": "270-412-1542",
"fax_number": "270-412-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7973 THUNDER BLVD",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235531",
"telephone_number": "270-412-1542",
"fax_number": "270-412-6802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "JENNY",
"middle_name": "LYNN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-22",
"last_updated": "2023-05-22",
"certification_date": "2023-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "91185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.