Individual
JENNIFER CHRISTINE STIGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1155 W PARKVIEW ST STE 2C, BOLIVAR, MO 65613-7800
(417) 326-8700
Mailing address
1155 W PARKVIEW ST STE 2C, BOLIVAR, MO 65613-7800
(417) 326-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194265
NCCPA
—
01
—
2022004000
MISSOURI STATE PHYSICIAN ASSISTANT LICENSE
MO
Enumeration date
02/02/2022
Last updated
09/28/2022
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