Vaillancourt, Mary Jill
Vaillancourt, Mary Jill is an individual health care provider with primary practice located at 107 Institute St , Jamestown NY 14701-6628. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Vaillancourt, Mary Jill can be contacted via phone (716) 484-4334.Contact Information
Primary practice address
107 Institute St
Jamestown NY 14701-6628
Phone: (716) 484-4334
Fax: (833) 974-2029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP015710 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F307302 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | SP015710 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | SP015710 | Pennsylvania |
| Nursing Service Providers / Registered Nurse | 163W00000X | RN578441 | Pennsylvania |
| Nursing Service Providers / Registered Nurse | 163W00000X | 362456 | New York |
Profile Details
| NPI number | 1104290915 |
|---|---|
| LBN Legal business name | Vaillancourt, Mary Jill |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2015 |
| Last updated | Aug 31st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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