Individual
JESSICA ANN WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
226 E US HIGHWAY 54, CAMDENTON, MO 65020-6819
(573) 873-2521
(573) 346-3307
Mailing address
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807-5154
(573) 836-2446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021005460
MO
Other
Enumeration date
02/13/2021
Last updated
03/29/2021
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