Individual
MR. JACOB D VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 342-3000
(251) 342-3043
Mailing address
PO BOX 851417, MOBILE, AL 36685-1417
(251) 342-3000
(251) 342-3043
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1111984
AL
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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