Individual
JACQUELYN C. STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3800 S NATIONAL AVE, 3RD FLOOR, SPRINGFIELD, MO 65807-5209
(417) 269-5506
(417) 269-2099
Mailing address
3800 S NATIONAL AVE, 3RD FLOOR, SPRINGFIELD, MO 65807-5209
(417) 269-5506
(417) 269-2099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
103200
MO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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