Healthcare Provider Details

I. General information

NPI: 1386589927
Provider Name (Legal Business Name): AMBERLYN JARMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 N MAIN STREET RD
WEBB CITY MO
64870-8189
US

IV. Provider business mailing address

1005 S OLIVE ST
PITTSBURG KS
66762-5622
US

V. Phone/Fax

Practice location:
  • Phone: 417-781-0408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number390200000X
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: