Individual
JAN LUCILE ALTISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1601 E 28TH ST, TRENTON, MO 64683-1178
(660) 359-4487
(660) 359-4129
Mailing address
PO BOX 30, TRENTON, MO 64683-0030
(660) 359-4487
(660) 359-4129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2010013176
MO
363LF0000X
Family Nurse Practitioner
2010013176
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2010013176
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424240901
—
MO
Enumeration date
12/16/2009
Last updated
02/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us