Individual
JILL LYNN FEURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM FNP
Contact information
Practice address
1515 HAZEL ST, SUITE 101, CARTHAGE, MO 64836-2850
(417) 358-0188
(417) 358-4162
Mailing address
1615 HAZEL AVE, CARTHAGE, MO 64836-3020
(417) 358-0188
(417) 358-4162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
138781
MO
367A00000X
Advanced Practice Midwife
Primary
138781
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063421048
—
MO
05
—
200264510A
—
KS
Enumeration date
08/07/2006
Last updated
08/07/2023
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