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Individual

JACQUELYN LORRAINE ADDINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
407 BURKARTH RD STE 302, WARRENSBURG, MO 64093-3101
(660) 747-5558
Mailing address
407 BURKARTH RD STE 302, WARRENSBURG, MO 64093-3101
(660) 747-5558

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-134081-031
KS
163W00000X
Registered Nurse
2008021001
MO
363LF0000X
Family Nurse Practitioner
Primary
2017001816
MO
363LF0000X
Family Nurse Practitioner
53-77571-031
KS

Other

Enumeration date
04/18/2017
Last updated
04/22/2022
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