Stark, Jennifer

Stark, Jennifer is an individual health care provider with primary practice located at 1450 E 10Th St , Rolla MO 65401-3648. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Stark, Jennifer can be contacted via phone (573) 364-7551.

Contact Information

Primary practice address
1450 E 10Th St Rolla MO 65401-3648
Phone: (573) 364-7551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 2012021855 Missouri

Profile Details

NPI number 1417371576
LBN Legal business name Stark, Jennifer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2014
Last updated Feb 10th, 2014 - about 11 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

Popular Providers