Individual provider · Type 1 NPI
Jamie Vandermierden
Family Nurse Practitioner · Cape Girardeau, MO
NPI number
1487213864
Active
Practice location
1723 Broadway St Ste 210
Cape Girardeau, MO 63701-4556
Fax (573) 331-7899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2019019067 (MO) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1487213864
Jamie Vandermierden's National Provider Identifier is 1487213864, issued on Jun 10, 2019. 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 Jun 10, 2019.