Individual
KRISTA DEANN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
3100 W BROADWAY, COLUMBIA, MO 65203-0102
(573) 884-0036
(573) 884-1063
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113720
MO
Other
Enumeration date
12/20/2005
Last updated
08/13/2025
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