Individual
MR. JAMES ALAN CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, FNP
Contact information
Practice address
2511 W EDGEWOOD DR, STE D, JEFFERSON CITY, MO 65109-5869
(573) 761-2121
(573) 635-0726
Mailing address
1000 W NIFONG BLVD, BLDG. 1, STE 501, COLUMBIA, MO 65203-5615
(573) 234-1800
(573) 234-1799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
142061
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429284417
—
MO
Enumeration date
05/28/2006
Last updated
06/13/2016
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