LINDA M VANCE


Address: 1000 Metrocenter Ste 105, Jackson, MS 39209
Phone: 6019601018

LINDA M VANCE (NPI# 1174751093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174751093
Entity Type Individual
Full Name LINDA M VANCE
Credential CFNP
Practice Address 1000 Metrocenter Ste 105
Jackson
MS 39209
Mailing Address 1000 Metrocenter Ste 105
Jackson
MS 39209-7515
Practice Telephone 6019601018
Practice Fax Number 7692410057
Mailing Telephone 6019601018
Mailing Fax Number 6924100577
Enumeration Date 2009-06-30
Last Update Date 2019-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
R718637 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 01039029 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1151 North State Street, Suite 404, Jackson, MS 392022407 6012924600 6015109630
2219 Greenway Dr, Jackson, MS 392043202 6019837494

Other Providers LINDA VANCE

NPI Name Taxonomy Address Enumeration
1558853275 Linda L Vance Counselor 7490 S Camino De Oeste, Tucson, AZ 85746-9308 2018-05-30

Office Location

Street Address 1000 METROCENTER STE 105
City JACKSON
State MS
Zip Code 39209

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235754995 Oak Street Health Physicians Group of Mississippi, LLC Family Medicine 911 Ellis Ave, Jackson, MS 39209 2020-06-09
1760003594 Phi Health, LLC Ambulance 582 Ramp Road, Suite C, Jackson, MS 39209 2020-05-04
1720468911 Genoa Healthcare, LLC Pharmacy 3450 Highway 80 W Rm 68, Jackson, MS 39209 2015-06-03
1013302082 Tiffany Griffin Nurse Practitioner 3450 Highway 80 West, Jackson, MS 39209 2015-04-06
1679961957 Cassetta Shontae Mcgee Emergency Medical Technician, Basic 5326 Queen Eleanor Ln, Jackson, MS 39209 2015-01-08
1124381280 Martin Solution In Home Supportive Care 917 West Ridge, Jackson, MS 39209 2012-06-22
1649533589 Adrinnie M Martin Contractor 917 Westridge, Jackson, MS 39209 2012-06-15
1831423862 Infinity House, Inc In Home Supportive Care 1042 Pecan Park Circle, Jackson, MS 39209 2009-09-23
1770729998 Kim Hestle Speech-Language Pathologist 733 N. Flag Chapel Road, Jackson, MS 39209 2008-12-17
1225287139 Ralph Wendell Mims Community Health Worker 3708 Kennebrew Road, Jackson, MS 39209 2008-09-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113627 Jessicah Blasdel Nurse Practitioner 113 W Michigan Ave, Jackson, MI 49201-1340 2020-10-31
1801406335 Jade Russell Nurse Practitioner 2205 W Morrell St, Jackson, MI 49203-1357 2020-08-10
1992315212 Patrecia Campbell Nurse Practitioner 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 2020-08-01
1669008926 Kristine Edwards Nurse Practitioner 723 Woodlawn Ave, Jackson, MI 49203-2921 2020-03-19
1295366391 Christy White Nurse Practitioner 363 Old Pinson Rd, Jackson, TN 38301-9576 2020-01-28
1972141620 Primary Care - Bemis, LLC Nurse Practitioner 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 2019-12-12
1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
1265080584 Cameron Nicole Howard Nurse Practitioner 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 2019-08-29
1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
1902376361 Jenay B Krumm Nurse Practitioner 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 2018-11-28
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Competitor

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City JACKSON
Zip Code 39209

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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