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MRS. NATALIE MARTHA JEFFERY RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1457597924

Individual Registrant:
MRS. NATALIE MARTHA JEFFERY RN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
135 COLLEGE AVE.  LICKING, MO 65542-0000 US
Tel: 573-673-1089  Fax: 417-683-6153

Contact information for business:
PO BOX 1359  AVA, MO 65608-1359 US
Tel: 417-683-5739  Fax: 417-683-6153

Registration Information:
NPI: 1457597924
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
TNRN0000145480
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MO2018036801

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MO - Page 1



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