Individual
MRS. NICOLE RENEE MISTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 634-4878
(573) 634-7423
Mailing address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 634-4878
(573) 634-7423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013009073
MO
363LF0000X
Family Nurse Practitioner
Primary
2017025490
MO
Other
Enumeration date
06/21/2017
Last updated
06/28/2023
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