Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRAVIS JEWELL NULL
Active
Individual
TRAVIS JEWELL NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015035371
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015035371
STATE LICENSE
MO
Enumeration date
10/06/2015
Last updated
03/17/2018
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