MEDICARE: JEAN M VANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter

General Provider Information

NPI Number	:	1659011161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN M VANCE

Provider Business Mailing Address
First Line	:	9901 EMMAUS
Second Line	:
City	:	ST JOHN
State	:	VI
Zip	:	00830-9587
Country	:	US
Telephone Number	:	340-227-6061
Fax Number	:

Provider Business Practice Location Address
First Line	:	9901 EMMAUS
Second Line	:
City	:	ST JOHN
State	:	VI
Zip	:	00830-9587
Country	:	US
Telephone Number	:	340-227-6061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	03/31/2022

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Directions to “ JEAN M VANCE ” Practice Location

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