NPI Profile for JADE L VINSON in BENTONVILLE, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1225520356 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/04/2018 | |
| Last updated | 03/11/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JADE L VINSON
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