Pumphrey, Susan Jenette
Pumphrey, Susan Jenette is an individual health care provider with primary practice located at 202 E 50Th St , Joplin MO 64804-4920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pumphrey, Susan Jenette can be contacted via phone (417) 556-3400.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 102682 | Missouri |
Profile Details
| NPI number | 1134243819 |
|---|---|
| LBN Legal business name | Pumphrey, Susan Jenette |
| Credentials | RN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Mar 2nd, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134243819 | NPPES |
| Missouri | MEDICAID | 429150204 |
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