Individual
MRS. JACKIE DEE FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
101 S FAIRVIEW RD, COLUMBIA, MO 65203-7637
(573) 882-4464
(573) 884-8142
Mailing address
101 S FAIRVIEW RD, COLUMBIA, MO 65203-7637
(573) 882-4464
(573) 884-8142
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2016036098
MO
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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