Daniels, Jason A

Daniels, Jason A is an individual health care provider with primary practice located at 4049 S Campbell Ave , Springfield MO 65807-5303. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Daniels, Jason A can be contacted via phone (417) 890-5550.

Contact Information

Primary practice address
4049 S Campbell Ave Springfield MO 65807-5303
Phone: (417) 890-5550
Fax: (417) 889-6898
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 140310 Missouri
Nursing Service Providers / General Practice 163WG0000X 140310 Missouri

Profile Details

NPI number 1578535357
LBN Legal business name Daniels, Jason A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Feb 9th, 2024 - about 10 months 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 1578535357 NPPES
Missouri MEDICAID 424683613

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