KENDRA JOY VANDOVER


Address: 1401 S University Dr, Nacogdoches, TX 75961-6488
Phone: 9365605668

KENDRA JOY VANDOVER (NPI# 1295367795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295367795
Entity Type Individual
Full Name KENDRA JOY VANDOVER
Practice Address 1401 S University Dr
Nacogdoches
TX 75961-6488
Mailing Address 265 Bobwhite Dr
Lufkin
TX 75904-6954
Practice Telephone 9365605668
Mailing Telephone 9364658520
Enumeration Date 2020-02-12
Last Update Date 2020-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
AP144456 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1401 S UNIVERSITY DR
City NACOGDOCHES
State TX
Zip Code 75961-6488

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255367090 East Texas Community Health Services, Inc. Clinic/Center 1401 S University Dr, Nacogdoches, TX 75961-6488 2006-06-23
1477162584 Chantell Monique Comans Nurse Practitioner 1401 S University Dr, Nacogdoches, TX 75961-6488 2020-07-24
1316287915 Maribel Arredondo Nurse Practitioner 1401 S University Dr, Nacogdoches, TX 75961-6488 2013-02-20
1689860397 Jan Elizabeth Bailey Nurse Practitioner 1401 S University Dr, Nacogdoches, TX 75961-6488 2007-09-18
1396968384 Peter Leonard Gergen Physician Assistant 1401 S University Dr, Nacogdoches, TX 75961-6488 2007-04-10
1548483472 Kevin Lee Murphy Physician Assistant 1401 S University Dr, Nacogdoches, TX 75961-6488 2007-04-10
1942423892 Richard Edward Tracy Family Medicine 1401 S University Dr, Nacogdoches, TX 75961-6488 2007-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578195582 Trevon Jerrell Jones Specialist/Technologist 13010 Sfa Station, Nacogdoches, TX 75961 2020-02-07
1275014094 Connie Nicole Hamner Licensed Vocational Nurse 214 Cr 387, Nacogdoches, TX 75961 2018-08-29
1689175804 Barbara Stracener Registered Nurse 234 Grove Lane, Nacogdoches, TX 75961 2018-02-22
1710425541 St.alyssamedical Center Clinic/Center 1303 N. Mound Street, Nacogdoches, TX 75961 2017-01-31
1609319458 Nacogdoches Internal Medicine Pllc Internal Medicine 412 North St Ste E, Nacogdoches, TX 75961 2016-11-28
1972982866 Deanna Ellen Bishop Nurse Practitioner 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 2015-05-25
1659798155 Dr. Ronnie Hancock Family Dentistry, Pllc Dental Hygienist 1302 Raguet Street, Nacogdoches, TX 75961 2014-03-21
1205095585 Chris R Chambers Surgery 1018 N Mound St Ste 106, Nacogdoches, TX 75961 2008-06-03
1972790285 Assisted Living Concepts Inc Assisted Living Facility 901 Oakview Drive, Nacogdoches, TX 75961 2007-10-01
1356492151 James Knox Dowling Pediatrics 2106 N. Raguet, Nacogdoches, TX 75961 2007-01-16
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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

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1376003962 Jumpstart Health LLC Nurse Practitioner 5227 Reading Rd, Rosenberg, TX 77471-5758 2019-03-21
1760983886 Emilia Okere Nurse Practitioner 13119 Hill Canyon Ln, Houston, TX 77072-5636 2018-02-23
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1063833754 Jenny Khan Nurse Practitioner 1400 S Loop 336 W, Conroe, TX 77304-3317 2013-12-23
1386853562 Cherryl Lynn Rowell Nurse Practitioner 106 West Rusk Street, Mount Enterprise, TX 75681-0489 2007-05-22
1417061128 Asu- Sanjacinto School Based Clinic Nurse Practitioner 800 Spaulding St, San Angelo, TX 76903-4930 2006-08-18
1811967417 Shawn D. Dowe Nurse Practitioner 25615 Us Highway 281 N Ste 250, San Antonio, TX 78258 2006-01-25
1255870010 Charla Lambert Denman Nurse Practitioner 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 2017-02-13
1003284472 Marie L Neba Nurse Practitioner 14226 Ashmore Reef Ct, Sugar Land, TX 77498-7598 2015-09-02
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Competitor

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City NACOGDOCHES
Zip Code 75961

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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