Individual
MS. JANEL COURTNEY GERACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5249
(000) 000-0000
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023025065
MO
363A00000X
Physician Assistant
2903
NE
Other
Enumeration date
05/17/2023
Last updated
09/13/2023
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