Individual
PATTI JERENE JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 ANNIE BAXTER AVE, JOPLIN, MO 64804-0331
(417) 825-1063
Mailing address
2408 ANNIE BAXTER AVE, JOPLIN, MO 64804-0331
(417) 825-1063
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
20020176164
MO
Other
Enumeration date
06/13/2024
Last updated
08/24/2024
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