Altiser, Jan Lucile

Altiser, Jan Lucile is an individual health care provider with primary practice located at 1601 E 28Th St , Trenton MO 64683-1178. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Altiser, Jan Lucile can be contacted via phone (660) 359-4487.

Contact Information

Primary practice address
1601 E 28Th St Trenton MO 64683-1178
Phone: (660) 359-4487
Fax: (660) 359-4129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2010013176 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2010013176 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2010013176 Missouri

Profile Details

NPI number 1336478601
LBN Legal business name Altiser, Jan Lucile
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2009
Last updated Feb 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336478601 NPPES
Missouri MEDICAID 424240901

Popular Providers