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Individual

REBECCA JEAN DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, PMHNP-BC

Contact information

Practice address
807 COLLINS DR, FESTUS, MO 63028-2346
(636) 931-4206
Mailing address
327 WELLINGTON PL, FARMINGTON, MO 63640-1659
(573) 586-6999

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
2010026038
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023006443
MO

Other

Enumeration date
02/17/2023
Last updated
05/01/2023
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