Individual
JAMIE ROSANNE NIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
224 WHETSTONE WAY, JACKSON, MO 63755-3053
(573) 579-9771
Mailing address
1237 SADDLEBROOKE RIDGE, JACKSON, MO 63755
(573) 579-9771
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2001002493
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475697413
—
MO
Enumeration date
07/03/2007
Last updated
07/24/2019
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