Individual
TRISHA ANN JANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
(573) 234-1799
Mailing address
601 BELLINGRATH GARDENS AVE, WENTZVILLE, MO 63385-7222
(314) 650-9128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2020019087
MO
363LF0000X
Family Nurse Practitioner
2020019087
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020019087
NURSE PRACTITIONER LICENSE
MO
Enumeration date
06/30/2020
Last updated
11/20/2023
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