Individual
JACQUIE SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
2600 INDEPENDENCE SQ, WEST PLAINS, MO 65775-4233
(417) 256-1774
(417) 256-1754
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
(417) 256-5838
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017017200
MO
363LA2200X
Adult Health Nurse Practitioner
2017017200
MO
363LG0600X
Gerontology Nurse Practitioner
2017017200
MO
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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