JERILENE MARIE VANN RN NPI 1457401887

NPI Information

NPI: 1457401887
Provider Name: JERILENE MARIE VANN, RN
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Get Directions

Jerilene Marie Vann, RN is a community health registered nurse in Gallup, NM. Jerilene Marie Vann, RN NPI is 1457401887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

516 E NIZHONI BLVD
GALLUP, NM
ZIP 87301-748
Phone: (505) 722-1000

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	RN069004	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	320059	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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