Individual
SABRINA S VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 E MAIN ST, TUPELO, MS 38804-2956
(662) 350-3550
Mailing address
1424 E MAIN ST, TUPELO, MS 38804-2956
(662) 350-3550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902646
MS
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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