Individual
JESSIE ETHEL SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
205 W WIMER ST, KNOB NOSTER, MO 65336-1255
(660) 233-2213
Mailing address
205 W WIMER ST, KNOB NOSTER, MO 65336-1255
(660) 233-2213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2021001393
MO
Other
Enumeration date
04/20/2026
Last updated
04/30/2026
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