Individual
JENNIFER L MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2754 W REPUBLIC RD, SPRINGFIELD, MO 65807-3901
(417) 351-2609
Mailing address
2754 W REPUBLIC RD, SPRINGFIELD, MO 65807-3901
(417) 351-2609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013001558
MO
363LP2300X
Primary Care Nurse Practitioner
Primary
2013001558
MO
Other
Enumeration date
12/26/2012
Last updated
05/13/2019
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