Provider Demographics
NPI:1699362525
Name:MEANS, VANESSA DEAN (BSN RN)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:DEAN
Last Name:MEANS
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 N PEARL ST STE 105
Mailing Address - Street 2:
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-3275
Mailing Address - Country:US
Mailing Address - Phone:318-547-4220
Mailing Address - Fax:
Practice Address - Street 1:118 N PEARL ST STE 105118
Practice Address - Street 2:
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-3275
Practice Address - Country:US
Practice Address - Phone:318-547-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-26
Last Update Date:2020-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS866600163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse