Provider Demographics
NPI:1043101447
Name:VINSON, JESSICA PRICE (FNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:PRICE
Last Name:VINSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JESSICA
Other - Middle Name:NICHOLE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5389 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DONALSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:39845-3202
Mailing Address - Country:US
Mailing Address - Phone:229-309-0485
Mailing Address - Fax:229-309-0485
Practice Address - Street 1:360 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:BLAKELY
Practice Address - State:GA
Practice Address - Zip Code:39823-2554
Practice Address - Country:US
Practice Address - Phone:229-723-2660
Practice Address - Fax:229-723-2663
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN278007363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care