Individual
DR. SERENA NICOLE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
800 S CHURCH ST, SUITE 302, JONESBORO, AR 72401-4176
(870) 935-3990
Mailing address
1005 LAKE CREST DR, JONESBORO, AR 72404-9564
(870) 935-3990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-9141
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699086314
NPI
IL
Enumeration date
06/28/2010
Last updated
08/24/2015
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