Individual provider · Type 1 NPI

Marc A. Eubanks

Licensed Practical Nurse · Jefferson City, MO

NPI number 1043830912 Active

Practice location

210 Hoover St
Jefferson City, MO 65109-0800

Call (573) 556-6589 Map

Fax (573) 556-6294

Mailing address

118 N 2nd St Ste 200
St. Charles, MO 63301-2894

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X046578 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1043830912

Marc A. Eubanks's National Provider Identifier is 1043830912, issued on Apr 21, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Jefferson City, MO. The record was last updated on Apr 21, 2020.