Jennifer K. Theis in Joplin - Nurse Practitioner
Jennifer K. Theis - NPI 1639106560
Jennifer K. Theis is a Nurse Practitioner in Joplin, Missouri. Jennifer K. Theis practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jennifer K. Theis is 1639106560. The last update date is 2010-09-10.
Jennifer K. Theis's current location address is Po Box 3810, Joplin, Missouri. You can contact this provider via phone number 4177825500 and fax number 4177828516. The mailing address for Jennifer K. Theis is Po Box 3810, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer K. Theis |
|---|---|
| Address | Po Box 3810, Joplin, Missouri |
| Phone Number | 4177825500 |
| Fax Number | 4177828516 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1639106560 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2010-09-10 |
Provider Mailing Address Detail
| Address | Po Box 3810 |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 64803 |
| Phone Number | 4177825500 |
| Fax Number | 4177828516 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 142538 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425136306 | MO | -- | |
| 500014242 | RR MEDICARE | ||
| 100091520A | OK | -- | |
| 100380720A | KS | -- | |
| 148311 | MO | ANTHEM |
Post Comment/ Review Below
What is the Jennifer K. Theis's 1639106560?
The Jennifer K. Theis's NPI (National Provider Identifier) Number is 1639106560. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jennifer K. Theis is physically located?
The Jennifer K. Theis is physically situated at the following address: Po Box 3810, Joplin, MO, 64803.
What is Jennifer K. Theis's area of expertise and its corresponding taxonomy classification?
The Jennifer K. Theis's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jennifer K. Theis receive the assignment of its 1639106560 from the Centers for Medicare & Medicaid Services?
The Jennifer K. Theis was issued its 1639106560 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Jennifer K. Theis most recently updated?
The details pertaining to the Jennifer K. Theis, including its address, specialty, and other relevant information, were last refreshed on 2010-09-10.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC