Jakilra Simone Vance

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

342975 Issued in TX

Practice address

4302 Beach Ball Dr
Killeen, TX 76549-4325

Phone

(254) 987-4061

NPI assigned

Apr 28, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1902427255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 BEACH BALL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 BEACH BALL DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494325",
            "telephone_number": "254-987-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "JAKILRA",
        "middle_name": "SIMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "342975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Vaden, FNP
• Shobha R Vadlapatla, MD
• Betty Valentin, R.N.
• Valiant Cardiopulmonary Independent Diagnostic Testing Facility
• Kisha Nathima Vallejo, LCSW
• Stephen J Vancura, MD
• Jordan Vandergroeben
• Beth Ann Vanderpool, PA
• Constance Elizabeth Vanvalkenburg, LPN
• Isabel Yasmine Vasquez

• Licensed Vocational Nurse in Killeen, TX
• Providers in Killeen, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.