NPI 1073029799

Jeremy Alan Vance, DNPCRNA

Practitioner Certified Registered Nurse Anesthetist Hattiesburg, MS

Practice location

Address: 415 S 28th Ave, Hattiesburg, MS 39401-7246
Phone: (601) 261-3606
Fax: (601) 579-5240

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 901497 (MS)

Other Nurse Anesthetist, Certified Registered providers in Mississippi →

Registry record

NPI: 1073029799
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Dec 2017
Record last updated: 10 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.