Individual provider · Type 1 NPI
Deanna Marie Mantle
Family Nurse Practitioner · Jefferson City, MO
NPI number
1194117671
Active
Practice location
1125 Madison St
Jefferson City, MO 65101-5227
Fax (573) 632-5876
Mailing address
1716 Highway C
Bonnots Mill, MO 65016-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2008020776 (MO) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Jefferson City
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- Sara J. Marso, FNPFamily Nurse Practitioner Jefferson City, MO NPI 1033688924
- Erica Anne WhiteFamily Nurse Practitioner Jefferson City, MO NPI 1053081752
- Laura Elizabeth Besgrove, MSN, APRN, FNP-BCFamily Nurse Practitioner Jefferson City, MO NPI 1073976957
- Cordie Boyd, FNP-CFamily Nurse Practitioner Jefferson City, MO NPI 1083506414
- Amanda PetersFamily Nurse Practitioner Jefferson City, MO NPI 1093265266
About NPI 1194117671
Deanna Marie Mantle's National Provider Identifier is 1194117671, issued on Feb 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jefferson City, MO. The record was last updated on Feb 20, 2015.