Individual
MRS. JEANINE M HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2004 W MARLER LN, OZARK, MO 65721-7661
(417) 581-3006
(417) 581-3009
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 581-3006
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
2014020748
MO
Other
Enumeration date
06/03/2014
Last updated
12/12/2014
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