Carlton, Jeannie M.

Carlton, Jeannie M. is an individual health care provider with primary practice located at 54 Hospital Dr Suite 102, Osage Beach MO 65065-3050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Carlton, Jeannie M. can be contacted via phone (573) 348-8045.

Contact Information

Primary practice address
54 Hospital Dr Suite 102 Osage Beach MO 65065-3050
Phone: (573) 348-8045
Fax: (573) 348-8046
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 111554 Missouri

Profile Details

NPI number 1134265556
LBN Legal business name Carlton, Jeannie M.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Sep 21st, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134265556 NPPES
Missouri MEDICAID 1134265556
Missouri Other 431560263
Missouri Other 500023720

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