Vance, Penny D.

Vance, Penny D. is an individual health care provider with primary practice located at 215 Katherine Dr Ste A , Flowood MS 39232-9588. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vance, Penny D. can be contacted via phone (601) 665-4162.

Contact Information

Primary practice address
215 Katherine Dr Ste A Flowood MS 39232-9588
Phone: (601) 665-4162
Fax: (855) 830-3484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 652334 Mississippi

Profile Details

NPI number 1588690689
LBN Legal business name Vance, Penny D.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Aug 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588690689 NPPES
Mississippi MEDICAID 005238298
Mississippi Other P01629801

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