Jennifer K. Theis, NP

NPI #1639106560 in Joplin, Missouri

Provider Information

NPI Number: 1639106560
Entity Type: Individual
Name: Jennifer K. Theis, NP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NP
Enumeration Date: Jun 27, 2006
Last Updated: Mar 19, 2024

Practice Location

Address: 3401 MCINTOSH CIR STE 100
City: Joplin
State: Missouri
ZIP Code: 64804-3651
Phone: (417) 347-7200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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