Individual
ADDISON MAE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2130 E JACKSON BLVD, JACKSON, MO 63755-2907
(573) 243-8408
(573) 243-0445
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2025045606
MO
Other
Enumeration date
10/14/2025
Last updated
11/20/2025
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