Individual provider · Type 1 NPI

Jennifer Sue Vanvickle, MD

Diagnostic Radiology Physician · Raleigh, NC

NPI number 1356374680 Active

Practice location

4420 Lake Boone Trl
Raleigh, NC 27607-7505

Call (919) 784-3023 Map

Fax (919) 784-3497

Mailing address

4020 Westchase Blvd, Suite 390
Raleigh, NC 27607-3938

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X38724 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1356374680

Jennifer Sue Vanvickle, MD's National Provider Identifier is 1356374680, issued on Jul 9, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Raleigh, NC. The record was last updated on Nov 6, 2007.