Individual provider · NPI-1

Joni Ahern, NP

Nurse Practitioner, Adult Health · Columbia, MO

NPI number1033570205

StatusActive

Last updated in NPPESMar 17, 2016

Details

NPI: 1033570205
Entity type: Individual (NPI-1)
Name: Joni Ahern
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Mar 15, 2016
Last updated: Mar 17, 2016

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LA2200X	Nurse Practitioner, Adult Health	2016007900	MO	Yes
363LG0600X	Nurse Practitioner, Gerontology	2016007900	MO

Practice location

210 Portland St
Ste 100
Columbia, MO 65201-6677

Phone 573-777-8818 · Fax 573-777-8819

Mailing address

210 Portland St
Ste 100
Columbia, MO 65201-6677

Phone 573-777-8818 · Fax 573-777-8819

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