MRS. NATALIE MARTHA JEFFERY (NPI# 1457597924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457597924 |
| Entity Type | Individual |
| Full Name | MRS. NATALIE MARTHA JEFFERY |
| Credential | RN |
| Practice Address |
135 College Ave. Licking MO 65542-0000 |
| Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
| Practice Telephone | 5736731089 |
| Practice Fax Number | 4176836153 |
| Mailing Telephone | 4176835739 |
| Mailing Fax Number | 4176836153 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0000145480 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2018036801 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
135 COLLEGE AVE. |
| City | LICKING |
| State | MO |
| Zip Code | 65542-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629639109 | Douglas County Public Health Services Group, Inc. | Family Medicine | 135 College Ave., Licking, MO 65542 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766806 | Arlene J O'brien | Counselor | 15423 Mccloy Road, Licking, MO 65542 | 2013-05-08 |
| 1487171930 | Mercy Pharmacy Services, LLC | Pharmacy | 101 N Main St, Po Box 125, Licking, MO 65542 | 2017-08-25 |
| 1912424607 | Licking No 1 LLC | Skilled Nursing Facility | 209 Hickory St, Licking, MO 65542 | 2017-08-24 |
| 1295115236 | Douglas A Crase | Family Medicine | 233 S Main St, Licking, MO 65542 | 2015-06-04 |
| 1447412770 | Texas County Memorial Hospital | Clinic/Center | 233 South Main Street, Licking, MO 65542 | 2008-06-27 |
| 1336336205 | Russell Mahmudul Huq | Emergency Medicine | 233 S Main St, Licking, MO 65542 | 2007-09-25 |
| 1790978765 | St. John's Physician & Clinic | Pharmacist | 101 North Main Street, Licking, MO 65542 | 2007-08-23 |
| 1184600181 | Jeffrey Kenneth Blue | Physician Assistant | 233 S Main Street, Licking, MO 65542-0047 | 2005-12-21 |
| 1124437330 | Whitney J Hall | Physician Assistant | 233 S Main St, Licking, MO 65542-0047 | 2014-08-13 |
| 1316262280 | Joshua P Wolfe | Family Medicine | 233 S Main St, Licking, MO 65542-0047 | 2010-04-02 |
| Find all providers in zip 65542 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.