Individual
MRS. LAURIE MURIEL JIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1200 N ONE MILE RD, DEXTER, MO 63841-1000
(573) 624-7575
(573) 614-1966
Mailing address
1200 N ONE MILE RD, DEXTER, MO 63841-1000
(573) 624-5566
(573) 614-1938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
085071
MO
Other
Enumeration date
09/13/2005
Last updated
01/12/2017
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