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NPI Code Detail

MEDICARE: MRS. JODIE LYNN WARSING CNS

MEDICARE: MRS. JODIE LYNN WARSING CNS
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
1363L00000XNurse Practitioner209005848IL
2363L00000XNurse Practitioner153657MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639116767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODIE LYNN WARSING CNS
Provider Business Mailing Address
First Line : 1001 LYNCH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-1818
Country : US
Telephone Number : 618-616-1859
Fax Number :
Provider Business Practice Location Address
First Line : 1001 LYNCH ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63118-1818
Country : US
Telephone Number : 618-616-1859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 03/28/2023

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