Linda M Vance, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R718637 Issued in MS

Practice address

1860 Chadwick Dr Ste 104
Jackson, MS 39204-3465

Phone

(601) 566-1644

Fax

(601) 566-1644

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Medical Center - Yazoo, Inc

  • Critical Access Hospital
  • Yazoo City, MS
  • NPI 1619918075
  Medicare reassignment NPD
• Fitness Clinic Wellness

  • Physical Therapist
  • Jackson, MS
  • NPI 1912352022

  Family

  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1326655986

  Family, MS

  Medicare reassignment NPD
• Baptist Medical Center - Yazoo, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Yazoo City, MS
  • NPI 1063620870
  NPD
• Monogram Health Professional Services PC

  • Nephrology Physician
  • Brentwood, TN
  • NPI 1134739089

  Family

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1174751093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043465",
            "telephone_number": "601-566-1644",
            "fax_number": "601-566-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 CHADWICK DR STE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043465",
            "telephone_number": "601-566-1644",
            "fax_number": "601-566-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 River Oaks Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392329575",
            "country_code": "US",
            "telephone_number": "601-939-9923",
            "fax_number": "601-939-9924",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Mission 66",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MS",
            "postal_code": "391803762",
            "country_code": "US",
            "telephone_number": "601-714-1404",
            "fax_number": "601-714-1404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANCE",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R718637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039029",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlan Vanburen
• Daisha Teyana Vance, MD
• Gregory Ray Vance
• Jimmy Dale Vance, DMD
• Kenneth Vance, PCAT
• Penny D. Vance, FNP-BC
• Sabrina Vance, LCSW
• Vanderloo Family Medicine, PLLC
• John P.F.H. Vanderloo, M.D.
• Vanessa Dorado LLC

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.