Individual
MRS. AMBER LYNN ABELN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 556-7719
(573) 635-2156
Mailing address
1241 W. STADIUM BLVD., JEFFERSON CITY, MO 65109-6023
(573) 556-7719
(573) 635-2156
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2007008405
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
221045
ANTHEM
IL
01
—
221045
ANTHEM
MO
01
—
896920
HEALTHLINK
IL
01
—
896920
HEALTHLINK
MO
01
—
9627071
AETNA
MO
Enumeration date
10/01/2007
Last updated
12/20/2019
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