Jennifer Leann Bader, FNP Valid NPI
Individual provider · Family Nurse Practitioner · Kennett, MO
- NPI
- 1114277803
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 2005022001 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2012-09-11
- Last updated
- 2020-03-12
Practice location
920 Kennett St
Kennett, MO 63857-3817
(573) 717-1130