Individual
JENNA ANN GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 471-0330
(573) 471-0461
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021026643
MO
Other
Enumeration date
08/30/2021
Last updated
02/12/2024
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