Vansice, Julie

Vansice, Julie is an individual health care provider with primary practice located at 969 Lakeland Dr St. Thomas Hall, Jackson MS 39216-4606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Vansice, Julie can be contacted via phone (601) 200-3110.

Contact Information

Primary practice address
969 Lakeland Dr St. Thomas Hall Jackson MS 39216-4606
Phone: (601) 200-3110
Fax: (601) 200-3109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R710539 Mississippi

Profile Details

NPI number 1568554582
LBN Legal business name Vansice, Julie
Credentials CFNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Mar 8th, 2011 - about 13 years ago

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 1568554582 NPPES
Mississippi MEDICAID 08259846

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