Phyllis Vance
Nurse Practitioner - Psychiatric/Mental Health
1530 Lone Oak Rd
Paducah
, Kentucky 42003-7901
Phyllis Vance
Nurse Practitioner - Psychiatric/Mental Health
1530 Lone Oak Rd
Paducah
, Kentucky 42003-7901
(270) 538-6596
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Phyllis Vance
- 13520 Berry Cir
- Omaha, NE
- Zip : 68137-3015
- Fax : (270) 538-6596
- Phone : (270) 444-2250
Second Address
- Phyllis Vance
- 1530 Lone Oak Rd
- Paducah, KY
- Zip : 42003-7901
- Fax : (270) 538-6596
- Phone : (270) 444-2250
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Is Phyllis Vance accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 3012687 | KY |
National Provider Identifier
| NPI | 1003390980 |
|---|---|
| Provider Name | Phyllis Vance |
| First Address | Omaha, NE 68137-3015 |
| Second Address | Paducah, KY 42003-7901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2018 |
| Last Update Date | 02/12/2021 |
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.