Vance, Nicholas G

Vance, Nicholas G is an individual health care provider with primary practice located at 24 Physicians Drive , Jackson TN 38305-2070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Vance, Nicholas G can be contacted via phone (731) 661-9825.

Contact Information

Primary practice address
24 Physicians Drive Jackson TN 38305-2070
Phone: (731) 661-9825
Fax: (731) 668-6757
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD0000056124 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 56124 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101259929 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0040945 Texas

Profile Details

NPI number 1760774616
LBN Legal business name Vance, Nicholas G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2011
Last updated Dec 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760774616 NPPES
Tennessee MEDICAID Q031011

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