Individual
LINDA M VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1860 CHADWICK DR STE 104, JACKSON, MS 39204-3465
(601) 566-1644
(601) 566-1644
Mailing address
1860 CHADWICK DR STE 104, JACKSON, MS 39204-3465
(601) 566-1644
(601) 566-1644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R718637
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01039029
—
MS
Enumeration date
06/30/2009
Last updated
10/04/2024
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