Individual provider · Type 1 NPI

Jeremiah Blaine Lance

Licensed Vocational Nurse · Charleston, WV

NPI number 1174445290 Active

Practice location

900 Virginia St E Ste 400
Charleston, WV 25301-2835

Call (681) 313-1759 Map

Fax (844) 800-3954

Mailing address

505 55th St Unit B
Vienna, WV 26105-3215

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse Primary 164X00000X42618 (WV)

Licensed Vocational Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job re…

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About NPI 1174445290

Jeremiah Blaine Lance's National Provider Identifier is 1174445290, issued on Jul 29, 2026. The primary taxonomy on file is Licensed Vocational Nurse (164X00000X), and the practice location is in Charleston, WV. The record was last updated on Jul 29, 2026.