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Individual
ALISHA BREANNA JAIN
Active
Individual
ALISHA BREANNA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC; APRN
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018001757
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018001757
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
213500
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259139758
—
AR
05
—
420050654
—
MO
Enumeration date
01/11/2018
Last updated
04/17/2023
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