Individual
JAMES STACY DIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2311 S REDWOOD AVE STE B, INDEPENDENCE, MO 64057-2405
(816) 365-0502
Mailing address
303 SW 13TH ST, OAK GROVE, MO 64075-9225
(816) 365-0502
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
2015001442
MO
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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