Individual provider · Type 1 NPI
Jackie Vance, FNP-BC
Family Nurse Practitioner · Hutto, TX
NPI number
1467107607
Active
Practice location
1003 Mccormick Cv
Hutto, TX 78634-2091
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 2021185858 (TX) |
| Family Nurse Practitioner Primary | 363LF0000X | 1071738 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467107607
Jackie Vance, FNP-BC's National Provider Identifier is 1467107607, issued on Feb 16, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hutto, TX. The record was last updated on Mar 9, 2022.