MEDICARE: JESSICA MARCH MSN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	2014022924	MO

General Provider Information

NPI Number	:	1508279886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MARCH MSN, FNP-BC

Provider Business Mailing Address
First Line	:	307 MCKAY ST
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-2029
Country	:	US
Telephone Number	:	660-385-3141
Fax Number	:	660-385-5866

Provider Business Practice Location Address
First Line	:	307 MCKAY ST
Second Line	:
City	:	MACON
State	:	MO
Zip	:	63552-2029
Country	:	US
Telephone Number	:	660-385-3141
Fax Number	:	660-385-5866

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	07/08/2014

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