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Individual

JESSICA NICOLE MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 776-2835
(573) 776-2763
Mailing address
1125 KINZER ST, POPLAR BLUFF, MO 63901-4807
(573) 300-7944
(573) 776-2763

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021048428
MO

Other

Enumeration date
12/06/2021
Last updated
01/05/2022
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