Provider Demographics
NPI:1821336108
Name:HAMPTON, JEFFREY KEITH (APRN, ACNS-BC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:KEITH
Last Name:HAMPTON
Suffix:
Gender:M
Credentials:APRN, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30380 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63383-4585
Mailing Address - Country:US
Mailing Address - Phone:636-456-5498
Mailing Address - Fax:
Practice Address - Street 1:30380 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:MO
Practice Address - Zip Code:63383-4585
Practice Address - Country:US
Practice Address - Phone:636-456-5498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO148757163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical