Cheryl Dupuis N.P.

NPI 1104010412 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1104010412
Gender Female
Enumeration Date 08/29/2007
Last Updated 12/22/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1241 W STADIUM BLVD
JEFFERSON CITY MO, 65109-6023, US
Phone (573) 635-5264
Fax
Business Location
PO BOX 104240
JEFFERSON CITY MO, 65110, US
Phone (573) 635-5264
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Illinois
License Number 209-001162
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According to our database, Cheryl Dupuis N.P. NPI is 1104010412, taxonomy code is 363L00000X and license number is 209-001162, license state is located at Illinois. Cheryl Dupuis N.P. physically located at 1241 W Stadium Blvd, Jefferson City MO, 65109-6023. NPI Number Cheryl Dupuis N.P. has the Individual type.

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1104010412 NPI number is provided on an as is basis without warranty of any kind. 1104010412 is maintained by the National Plan & Provider Enumeration System. The contents of Cheryl Dupuis N.P. are for informational purposes only.