Individual
MS. IDA N JUNGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
504 NW 10TH AVE., AVA, MO 65608-1359
(417) 683-5739
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
071921
MO
Other
Enumeration date
08/24/2005
Last updated
02/07/2014
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