JENNIFER SUE VANVICKLE M.D. NPI 1356374680

NPI Information

NPI: 1356374680
Provider Name: JENNIFER SUE VANVICKLE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
4420 LAKE BOONE TRL
RALEIGH, NC
ZIP 27607
Phone: (919) 784-3023
Get Directions

Jennifer Sue Vanvickle, M.D. is a diagnostic radiology radiology in Raleigh, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jennifer Sue Vanvickle, M.D. NPI is 1356374680. 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:

4420 LAKE BOONE TRL
RALEIGH, NC
ZIP 27607-505
Phone: (919) 784-3023
Fax: (919) 784-3497

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/6/2007.

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	2085R0202X	Radiology	Diagnostic Radiology	38724	NORTH CAROLINA	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
1	8984724	MEDICAID	NORTH CAROLINA
2	2068724	MEDICARE PIN	NORTH CAROLINA
3	F20478	MEDICARE UPIN

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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