Individual
JAMES JEREMIAH MOOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-6001
(573) 472-6006
Mailing address
1008 N MAIN ST, SIKESTON, MO 63801-5044
(573) 472-7406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018003400
MO
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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