Individual
DANIELLE E JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 SOUTHLAND DR, SIKESTON, MO 63801-4403
(573) 472-1770
(573) 472-1560
Mailing address
420 SEMO DR, NEW MADRID, MO 63869-1734
(573) 748-2404
(573) 748-8929
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2009034225
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033551429
—
MO
Enumeration date
07/25/2013
Last updated
02/24/2014
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