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Kaylee Jaynelle Ankrom

Nurse Practitioner, Family in Bolivar, MO. Individual provider (NPI-1).

NPI number1104474741
StatusActive
Last updated in NPPESNov 27, 2019

Details

NPI
1104474741
Entity type
Individual (NPI-1)
Name
Kaylee Jaynelle Ankrom
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2019
Last updated
Nov 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2019032011MOYes

Practice location

1300 N Oakland Ave
Bolivar, MO 65613-3018

Phone 417-326-7676

Mailing address

1300 N Oakland Ave
Bolivar, MO 65613-3018

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Other Family Nurse Practitioner providers in Bolivar, MO

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