Individual
JOHN DOUGLAS NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 S 14TH AVE, YAKIMA, WA 98902-3101
(519) 426-2378
Mailing address
824 RIVER RD, SHREVEPORT, LA 71105-2841
(318) 828-6828
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
221921
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61190798
WA
Other
Enumeration date
07/06/2021
Last updated
09/23/2021
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