Crystal Dawn Vance, is a
Registered Nurse - School based in Houston, Mississippi. Crystal Dawn Vance is licensed to practice in Mississippi (license number R858710) and her current practice location is
636 Starkville Rd, Houston, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 542-9065.
NPI number for Crystal Dawn Vance is 1003696196 and her current mailing address is 636 Starkville Rd, Houston, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003696196.
Provider's Profile
| Full Name | Crystal Dawn Vance |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - School |
|---|
| Location | 636 Starkville Rd, Houston, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1003696196
- Provider Enumeration Date: 10/05/2023
- Last Update Date: 10/05/2023
Medical Identifiers
Medical identifiers for Crystal Dawn Vance such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003696196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WS0200X | Registered Nurse - School | R858710 (Mississippi) | Primary |
| 163WS0200X | Registered Nurse - School | 858710 (Mississippi) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Dawn Vance is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Crystal Dawn Vance,
636 Starkville Rd,
Houston, MS 38851-9303
Ph: (662) 542-9065 | Crystal Dawn Vance,
636 Starkville Rd,
Houston, MS 38851-9303
Ph: (662) 542-9065 |
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