Individual
JAME J VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Mailing address
N3335 LUNDT RD, SULLIVAN, WI 53178-9681
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9745-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972189132
—
WI
Enumeration date
03/18/2021
Last updated
04/28/2021
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