IMPACTING LIVES LLC NPI 1063370831

NPI Information

  • NPI: 1063370831
  • Provider Name: IMPACTING LIVES LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 2304 JACKSON AVE W STE 101
    OXFORD, MS
    ZIP 38655
  • Phone: (662) 404-7177

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NPI Details

IMPACTING LIVES LLC is a primary care clinic center in Oxford, MS. IMPACTING LIVES LLC NPI is 1063370831. The provider is registered as an organization entity type.

The provider's business location address is:

2304 JACKSON AVE W STE 101
OXFORD, MS
ZIP 38655-624
Phone: (662) 404-7177
Fax: (662) 769-3839

The provider's authorized official is Melissa Jean Vinson .
The authorized official title is Owner and has the following contact phone number (662) 404-7177.

The enumeration date for this NPI number is 1/12/2026 and was last updated on 1/12/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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