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Individual

JENNIFER L JOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
(417) 820-2100
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010006664
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811210552
MO
05
200616720A
OK
05
201122790A
KS
Enumeration date
03/09/2010
Last updated
12/11/2015
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