Individual
JACKIE LYNN SATTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
420 WOLLARD BLVD, RICHMOND, MO 64085-1974
(816) 470-2131
(816) 470-7171
Mailing address
420 WOLLARD BLVD, RICHMOND, MO 64085-1974
(816) 470-2131
(816) 470-7171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2001004392
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010568509
—
MO
05
—
427515804
—
MO
05
—
540568508
—
MO
05
—
595956103
—
MO
05
—
595956202
—
MO
05
—
595956400
—
MO
05
—
595985805
—
MO
05
—
599225901
—
MO
Enumeration date
11/09/2006
Last updated
07/21/2022
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