Individual
JANE E METCALF
Active
Individual
JANE E METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, WHCNP
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
Update your record
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