Individual
JASON DALE ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3800 S NATIONAL AVE, SPRINGFIELD, MO 65807
(417) 875-3000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP134784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285151092
—
MO
Enumeration date
08/23/2017
Last updated
02/10/2022
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