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Individual

JAMIE S FLANAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
121 CAHILL RD, STE 204, BRANSON, MO 65616-2036
(417) 335-7296
(417) 335-7588
Mailing address
121 CAHILL RD, STE 204, BRANSON, MO 65616-2036
(417) 335-7296
(417) 335-7588

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2002031429
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
159887758
AR
01
201348
MO BLUE SHIELD
MO
05
427276605
MO
Enumeration date
02/06/2007
Last updated
08/07/2012
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