Individual provider · Type 1 NPI
Mary Jill Vaillancourt, CRNP
Adult Health Nurse Practitioner · Jamestown, NY
NPI number
1104290915
Active
Practice location
107 Institute St
Jamestown, NY 14701-6628
Fax (833) 974-2029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | SP015710 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F307302 (NY) |
| Adult Health Nurse Practitioner | 363LA2200X | SP015710 (PA) |
| Gerontology Nurse Practitioner | 363LG0600X | SP015710 (PA) |
| Registered Nurse | 163W00000X | RN578441 (PA) |
| Registered Nurse | 163W00000X | 362456 (NY) |
Adult Health Nurse Practitioner: Definition to come...
52 other providers at this address
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- Abigail Lee Trapp, PA-CPhysician Assistant Jamestown, NY NPI 1558768846
- Alexandra Evans Waclawski, PADermatology Physician Jamestown, NY NPI 1700307246
- Alexis Dawn ScalisePhysical Therapist Jamestown, NY NPI 1306759923
- Ann M. WoodOccupational Therapy Assistant Jamestown, NY NPI 1578038279
- Brianna AndersonPharmacist Jamestown, NY NPI 1952992265
- Chelsea Juliann Murphy, M.S. CCC-SLPSpeech-Language Pathologist Jamestown, NY NPI 1013405869
- Christina M. Brown, MDInternal Medicine Physician Jamestown, NY NPI 1801892708
- Damian Lee Ternullo, MDPediatrics Physician Jamestown, NY NPI 1538141080
- Disa Xayavongsone, NPPsychiatric/Mental Health Nurse Practitioner Jamestown, NY NPI 1487427886
- Elizabeth Kidder, MDInternal Medicine Physician Jamestown, NY NPI 1407276587
Other adult health nurse practitioner providers in Jamestown
- Sarah SaxtonAdult Health Nurse Practitioner Jamestown, NY NPI 1255375275
- Karen Lynn Sleeman, N.P.Adult Health Nurse Practitioner Jamestown, NY NPI 1275532228
- Chutima S. Burham, AANPAdult Health Nurse Practitioner Jamestown, NY NPI 1588420517
- Tammy Thayer, CRNPAdult Health Nurse Practitioner Jamestown, NY NPI 1710099411
- Marilyn WallinAdult Health Nurse Practitioner Jamestown, NY NPI 1750069092
About NPI 1104290915
Mary Jill Vaillancourt, CRNP's National Provider Identifier is 1104290915, issued on Nov 17, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Jamestown, NY. The record was last updated on Aug 31, 2023.