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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATIE E VANCE, PA

Active Sole Proprietor

KATIE E VANCE, PA is a Physician Assistant healthcare provider located in DYER, Tennessee. NPI 1861831869 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · DYER, TN

Registration Details

NPI Number
1861831869
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2013 (13.13233285893 yrs)
Last Updated
Dec 21, 2023
License
2351 (TN)
Sole Proprietor
Yes

Practice Information

Address
1123 N MAIN ST
DYER, TN, 383301019
Browse TN providers · Browse ZIP 38330
Phone
7316922853
Fax
7316922367
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in DYER, TN

Name Credential NPI
JENNA LEE DUBRUIEL PA 1114281748
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.