SearchLouisiana171M00000X

Jessica Vance

NPI 1174075725 · on the registry since 2016

Practice

Address
2715 Mackey Pl
Suite 135
Shreveport, LA 71118
Phone
(318) 220-8423
Fax
(318) 220-8573
Organisation at this address
Divine Beauty Supply Inc
Quality Youth Services Llc
Street Outreach Solutions,Llc
Mills Executive Care Services
Red River Therapeutic Solutions
Inferred from a shared address, not stated in the registry.
Clinicians at this address
80

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana