Individual provider · Type 1 NPI
Keitha Ann Jacellari, APRN, FNP-BC
Family Nurse Practitioner · Springfield, MO
NPI number
1437550167
Active
Practice location
1335 E Republic Rd
Springfield, MO 65804-7248
Fax (417) 313-9998
Mailing address
PO Box 2452
Mountain View, AR 72560-2452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | A004137 (AR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1437550167
Keitha Ann Jacellari, APRN, FNP-BC's National Provider Identifier is 1437550167, issued on Sep 12, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Springfield, MO. The record was last updated on May 31, 2023.