Individual
JAIME HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC, FNP-C
Contact information
Practice address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
Mailing address
2429 DATE DR, SUMMERSVILLE, MO 65571-8275
(417) 247-7576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
151400
MO
363LF0000X
Family Nurse Practitioner
Primary
2020032339
MO
363LP0200X
Pediatric Nurse Practitioner
2017002550
MO
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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