Provider Demographics
NPI:1790371565
Name:JAMES, JEANNE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:GUNTHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:505 N 25TH ST
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-9069
Mailing Address - Country:US
Mailing Address - Phone:417-581-9068
Mailing Address - Fax:
Practice Address - Street 1:505 N 25TH ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:MO
Practice Address - Zip Code:65721-9069
Practice Address - Country:US
Practice Address - Phone:417-581-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019043940363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily