MEDICARE: VMSN, INC.

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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1629361001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VMSN, INC.

Provider Business Mailing Address
First Line	:	4770 HARRISON DR # 105
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-5540
Country	:	US
Telephone Number	:	702-967-0530
Fax Number	:	702-967-0538

Provider Business Practice Location Address
First Line	:	1240 N MARTIN LUTHER KING BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-2825
Country	:	US
Telephone Number	:	702-967-0530
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. FLORENCE JAMESON
Credential	:	MD
Telephone Number	:	702-967-0530

Provider Enumeration Date	:	05/18/2011
Last Update Date	:	02/26/2021

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