Individual
MICHAEL JASON DEAN
Active
Individual
MICHAEL JASON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN ANP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2000167996
MO
363L00000X
Nurse Practitioner
53-74934-022
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
2000167996
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177840901
—
TX
05
—
200622300A
—
KS
Enumeration date
03/10/2006
Last updated
11/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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