Individual
JEFFREY ALAN VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Mailing address
6310 TERRA VERDE DR, UNIT 257, RALEIGH, NC 27609-5392
(336) 266-4506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
208501
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
208501
NC
Other
Enumeration date
05/24/2012
Last updated
09/21/2021
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