Stacy L Jansen is a Family Medicine in Joplin, Missouri. Stacy L Jansen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stacy L Jansen is 1104821883. The last update date is 2007-10-18.
Stacy L Jansen's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4178450545 and fax number 4178450548. The mailing address for Stacy L Jansen is Po Box 3810, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy L Jansen |
|---|---|
| Address | Po Box 3810, Joplin, Missouri |
| Phone Number | 4178450545 |
| Fax Number | 4178450548 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104821883 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | Po Box 3810 |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 6480338100 |
| Phone Number | 4178450545 |
| Fax Number | 4178450548 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2000156458 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00279800 | RR MEDICARE | ||
| 129295 | MO | ANTHEM |
Post Comment/ Review Below
What is the unique identification code assigned to Stacy L Jansen by the Centers for Medicare & Medicaid Services?
The Stacy L Jansen has been issued the NPI (National Provider Identifier) 1104821883. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stacy L Jansen?
The Stacy L Jansen is situated at Po Box 3810, in the city of Joplin, state of MO, with the zip code 6480338100.
What is Stacy L Jansen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacy L Jansen's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did Stacy L Jansen receive its 1104821883 assignment from the Centers for Medicare & Medicaid Services?
The Stacy L Jansen was assigned its 1104821883 on 2005-06-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Stacy L Jansen most recently updated or revised?
The details related to Stacy L Jansen, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-18.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH