DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JOSETTA ELIESE WAHWASSUCK MSN, FNP, PMHNP

MEDICARE: JOSETTA ELIESE WAHWASSUCK MSN, FNP, PMHNP
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
1363LF0000XFamily Nurse Practitioner096721MO
2363LP0808XPsychiatric/Mental Health Nurse Practitioner44870KS
3363LP0808XPsychiatric/Mental Health Nurse Practitioner096721MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00430963OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129929044OTHERBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629049929
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSETTA ELIESE WAHWASSUCK MSN, FNP, PMHNP
Provider Business Mailing Address
First Line : 1800 COMMUNITY
Second Line :
City : CLINTON
State : MO
Zip : 64735-8804
Country : US
Telephone Number : 660-885-8131
Fax Number :
Provider Business Practice Location Address
First Line : 206 S MILL ST
Second Line :
City : ELDON
State : MO
Zip : 65026-1864
Country : US
Telephone Number : 888-403-1071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 06/28/2021

Similar Medicare Providers

1821891615 — BETTY GIPSON PLPC
Practice Location Address:
206 S MILL ST
ELDON, MO
65026-1864
Practice Phone: 844-853-8937
Practice Fax:
1679793798 — ANNA MARIE WALKER LPC
Practice Location Address:
206 S MILL ST
ELDON, MO
65026-1864
Practice Phone: 888-403-1071
Practice Fax:
1073784112 — JAMES E PARKER
Practice Location Address:
206 S MILL ST
ELDON, MO
65026-1864
Practice Phone: 573-392-9956
Practice Fax: 573-392-9958
1114191152 — RICHARD L POPE LCSW, LIMHP
Practice Location Address:
206 S MILL ST
ELDON, MO
65026-1864
Practice Phone: 844-853-8937
Practice Fax:
1053746610 — MR. MANUEL L MENDEZ JR. LCSW
Practice Location Address:
206 S MILL ST
ELDON, MO
65026-1864
Practice Phone: 573-392-1828
Practice Fax: 573-392-1864
1427489624 — MR. JOHN M STALKER JR. LPC
Practice Location Address:
206 S MILL ST
ELDON, MO
65026-1864
Practice Phone: 888-403-1071
Practice Fax:

Directions to “ JOSETTA ELIESE WAHWASSUCK MSN, FNP, PMHNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.