Provider Demographics
NPI:1417183484
Name:JARRETT, DEBORAH JO (DO)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:JO
Last Name:JARRETT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:JO
Other - Last Name:GULBRANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4046
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65808-4046
Mailing Address - Country:US
Mailing Address - Phone:417-269-5712
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:307 W BENTON ST
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-1665
Practice Address - Country:US
Practice Address - Phone:417-236-2410
Practice Address - Fax:417-236-2425
Is Sole Proprietor?:No
Enumeration Date:2009-06-04
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4193207Q00000X
MO2013023187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine