Individual
JAMSHID NIKBAKHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1216 DEADRA DR, LEBANON, MO 65536-4669
(417) 730-5650
(417) 730-5655
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018038473
MO
363LF0000X
Family Nurse Practitioner
7573
TN
Other
Enumeration date
12/17/2009
Last updated
12/10/2018
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