Individual
JADE LEIGH VINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 MEDICAL CENTER PKWY STE 110, BENTONVILLE, AR 72712-3212
(479) 715-4262
(866) 817-7601
Mailing address
2900 MEDICAL CENTER PKWY STE 110, BENTONVILLE, AR 72712-3212
(479) 715-4262
(866) 817-7601
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R095301
AR
363LP2300X
Primary Care Nurse Practitioner
Primary
A005815
AR
Other
Enumeration date
06/04/2018
Last updated
03/11/2019
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