Individual
TASSI MICHELLE WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2505 MISSION DR, JEFFERSON CITY, MO 65109-9508
(573) 636-3483
(573) 636-3386
Mailing address
3349 AMERICAN AVE STE C, JEFFERSON CITY, MO 65109-1080
(573) 636-3483
(573) 636-3386
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2014044181
MO
Other
Enumeration date
01/06/2015
Last updated
02/23/2023
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