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Individual

JENA LYN SCHOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNPC-AG

Contact information

Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Mailing address
1349 N MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63701-1727
(573) 334-9564
(573) 334-1879

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2022020575
MO
363LA2200X
Adult Health Nurse Practitioner
2022020575
MO
363LG0600X
Gerontology Nurse Practitioner
2022020575
MO

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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