Individual
JAMIE LYNNE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 N RUTHERFORD ST, MACON, MO 63552-2020
(660) 385-8900
(660) 385-8708
Mailing address
1201 N RUTHERFORD ST, MACON, MO 63552-2020
(660) 385-8900
(660) 385-8708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019036528
MO
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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