Individual
JEAN R MENOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1245 BANNING ST, MARSHFIELD, MO 65706
(417) 269-1940
(417) 269-1948
Mailing address
1435 W WHITESIDE ST, SPRINGFIELD, MO 65807-2356
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010007620
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426602108
—
MO
Enumeration date
03/08/2010
Last updated
01/13/2025
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