Individual
JILL K. LAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2007023024
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205184959
—
MO
05
—
194446001
—
AR
01
—
P01153960
RAILROAD MEDICARE
MO
Enumeration date
08/28/2012
Last updated
12/05/2014
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