Individual
JANE E METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHCNP
Contact information
Practice address
1000 E PRIMROSE ST STE 400, SPRINGFIELD, MO 65807-5179
(417) 269-7900
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
062068
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
062068
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080703
MEDICARE PTAN
MO
01
—
062068
STATE LICENSE
MO
Enumeration date
09/21/2006
Last updated
03/30/2011
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