Individual
AMANDA LYNN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
100 MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 221-5250
Mailing address
15415 HIGHWAY NN, BOWLING GREEN, MO 63334-3515
(573) 754-0225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019035273
MO
Other
Enumeration date
09/13/2019
Last updated
04/11/2025
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