Individual
MRS. JACKLYN CHANELL GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1215 W FOXWOOD DR, RAYMORE, MO 64083-8301
(816) 318-8022
Mailing address
1215 W FOXWOOD DR, RAYMORE, MO 64083-8301
(816) 318-8022
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010027555
MO
Other
Enumeration date
05/21/2019
Last updated
03/17/2022
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