Individual provider · Type 1 NPI
Jennifer Leann Bader, FNP
Family Nurse Practitioner · Kennett, MO
NPI number
1114277803
Active
Practice location
920 Kennett St
Kennett, MO 63857-3817
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2005022001 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114277803
Jennifer Leann Bader, FNP's National Provider Identifier is 1114277803, issued on Sep 11, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kennett, MO. The record was last updated on Mar 12, 2020.