Unknown Individual – Family Nurse Practitioner, NPI 1669529491
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5569, Lexington Street, Klaus Park Village, Jackson, Cape Girardeau County, Missouri, 63755, United States
JACKSON, MO 637553827
Phone: (573) 722-9191
Fax: (573) 722-9393
Type: Mailing
West Sturdivant Street, Advance, Stoddard County, Missouri, 63730, United States
ADVANCE, MO 637307261
Phone: (573) 722-9191
Fax: (573) 722-9393
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63755)
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