Individual
JENNIFER L. BRANCH
Active
Individual
JENNIFER L. BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2018032640
MO
363LG0600X
Gerontology Nurse Practitioner
2018032640
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018032640
NP LICENSE
MO
Enumeration date
09/06/2018
Last updated
09/23/2019
Update your record
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