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Individual

JACQUELINE D TEBEEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
100 NW MOCK AVE STE 200, BLUE SPRINGS, MO 64014-2500
(816) 228-1000
(816) 463-6035
Mailing address
100 NW MOCK AVE STE 200, BLUE SPRINGS, MO 64014-2500
(816) 228-1000
(816) 463-6035

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2014032509
MO
363LF0000X
Family Nurse Practitioner
Primary
2014032509
MO

Other

Enumeration date
09/24/2014
Last updated
11/10/2025
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