Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY JILL VAILLANCOURT, CRNP
ActiveMARY JILL VAILLANCOURT, CRNP is a Adult Health Nurse Practitioner healthcare provider located in JAMESTOWN, New York. NPI 1104290915 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · JAMESTOWN, NY
Registration Details
- NPI Number
- 1104290915
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2015 (10.75667205273 yrs)
- Last Updated
- Aug 31, 2023
- Licenses
-
SP015710 (PA)F307302 (NY)SP015710 (PA)SP015710 (PA)RN578441 (PA)
Practice Information
- Address
-
107 INSTITUTE STJAMESTOWN, NY, 147016628Browse NY providers · Browse ZIP 14701
- Phone
- 7164844334
- Fax
- 8339742029
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Gerontological Nurse Practitioner
- Additional Specialty
- Registered Nurse
Other Adult Health Nurse Practitioner Providers in JAMESTOWN, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. KAREN LYNN SLEEMAN | N.P. | 1275532228 |
| SARAH SAXTON | — | 1255375275 |
| TAMMY THAYER | CRNP | 1710099411 |
| MARILYN WALLIN | — | 1750069092 |
| CHUTIMA S BURHAM | AANP | 1588420517 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.