Individual provider · Type 1 NPI

Jacob Louis Muckerman, FNP BC

Family Nurse Practitioner · Cape Girardeau, MO

NPI number 1275880429 Active

Practice location

1723 Broadway St, Suite 410
Cape Girardeau, MO 63701-4566

Fax (573) 339-9709

Mailing address

1723 Broadway St Ste 410
Cape Girardeau, MO 63701-4556

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2012027450 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1275880429

Jacob Louis Muckerman, FNP BC's National Provider Identifier is 1275880429, issued on Aug 7, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jan 22, 2026.