Individual
JANA M. GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 MERCY WAY STE 530, JOPLIN, MO 64804-4524
(417) 556-3828
Mailing address
325 E 20TH ST, PITTSBURG, KS 66762-3129
(620) 200-7466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-83535-071
KS
Other
Enumeration date
06/22/2024
Last updated
08/29/2024
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