Doctor Name: | MRS. JUNE ANNETTE VASSEY |
NPI Number: | 1164770970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN.17923 APRN |
Business Practice Address: | 5895 Reidville Rd Moore, SC - 293698409 |
Business Phone Number: | 8644866990 |
Business Fax Number: | |
Mailing Address: | 4179 Stone Station Rd, ROEBUCK |
State: | SC |
Postal Code: | 293763624 |
Phone Number: | 8646700070 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2012 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN.17923 APRN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |