Individual
JAZMINE NICOLE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4519 W 154TH ST, CLEVELAND, OH 44135-2709
(216) 355-4016
Mailing address
4519 W 154TH ST, CLEVELAND, OH 44135-2709
(216) 355-4016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
437007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437007
RN LICENSURE
OH
Enumeration date
12/06/2021
Last updated
12/06/2021
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