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NPI Code Detail

MEDICARE: MRS. LETICIA LYNN VANCE DNP, FNP-BC

MEDICARE:  MRS. LETICIA LYNN VANCE  DNP, FNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner71004106AIN
2363LF0000XFamily Nurse Practitioner71004106AIN

General Provider Information

NPI Number : 1447509633
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LETICIA LYNN VANCE DNP, FNP-BC
Provider Business Mailing Address
First Line : 525 METRO PL N STE 300
Second Line :
City : DUBLIN
State : OH
Zip : 43017-5320
Country : US
Telephone Number : 855-289-1722
Fax Number :
Provider Business Practice Location Address
First Line : 7830 JOHNSON RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2075
Country : US
Telephone Number : 317-396-0683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2012
Last Update Date : 10/07/2025

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Directions to “ MRS. LETICIA LYNN VANCE DNP, FNP-BC” Practice Location

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