Individual
JAMI DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNCSFNP
Contact information
Practice address
601 N ADAMS ST, MEMPHIS, MO 63555-1605
(660) 465-7455
Mailing address
607 BIG HORN DR, O FALLON, MO 63368-6944
(660) 341-6289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
143209
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
426043105
—
MO
Enumeration date
12/20/2005
Last updated
05/29/2008
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