Individual provider · NPI-1

Jill Basler, FNP

Nurse Practitioner · Farmington, MO

NPI number1033000286
StatusActive
Last updated in NPPESJul 31, 2025

Details

NPI
1033000286
Entity type
Individual (NPI-1)
Name
Jill Basler
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2025
Certification date
Jul 31, 2025
Last updated
Jul 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner2025032065MOYes
163W00000X Registered Nurse2011002495MO

Practice location

130 Westmount Dr
Farmington, MO 63640-2970

Phone 573-756-1813

Mailing address

134 Ethlyn Dr
Bloomsdale, MO 63627-8922

Phone 573-576-0920

Other practice locations

611 W Main St
Fredericktown, MO 63645-1146

Phone 573-756-1813

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