Individual
JENNIFER K BASKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
402 KEENE ST, COLUMBIA, MO 65201-6626
(573) 499-6071
(573) 499-6065
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN081638
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119391
BLUE CHOICE
MO
01
—
401092
HEALTHLINK
MO
01
—
P00318271
RR MEDICARE
MO
Enumeration date
06/01/2006
Last updated
07/08/2007
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