Kendra Joy Vandover
Nurse Practitioner - Community Health
1401 S University Dr
Nacogdoches
, Texas 75961-6488
Kendra Joy Vandover
Nurse Practitioner - Community Health
1401 S University Dr
Nacogdoches
, Texas 75961-6488
(936) 465-8520
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Kendra Joy Vandover
- 265 Bobwhite Dr
- Lufkin, TX
- Zip : 75904-6954
- Phone : (936) 465-8520
Second Address
- Kendra Joy Vandover
- 1401 S University Dr
- Nacogdoches, TX
- Zip : 75961-6488
- Phone : (936) 560-5668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | AP144456 | TX |
National Provider Identifier
| NPI | 1295367795 |
|---|---|
| Provider Name | Kendra Joy Vandover |
| First Address | Lufkin, TX 75904-6954 |
| Second Address | Nacogdoches, TX 75961-6488 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2020 |
| Last Update Date | 12/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.