person
Mrs. Deanna Marie Mantle
Family Nurse Practitioner in Jefferson City, Missouri
NPI 1194117671

Deanna Marie Mantle is a Family Nurse Practitioner based in Bonnots Mill, MO and is specialized in Family. Deanna Marie Mantle practices in Jefferson City, MO. The NPI Number for Deanna Marie Mantle is 1194117671 and holds a License No. 2008020776 (Missouri).

The current practice location address for Deanna Marie Mantle is 1125 Madison St, Jefferson City, MO and can be reached out via phone at 573-632-5581 and via fax at 573-632-5876.

Location: 1125 Madison St, Jefferson City, MO, 65016-2104
person
Provider Profile Details
NPI Number
1194117671
Provider Name
Deanna Marie Mantle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1125 Madison St, Jefferson City, MO, 65016-2104
Phone Number
573-632-5581
Fax Number
573-632-5876
Provider Enumeration Date
02/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1125 Madison St
City
State
Zip
65101-5227
Phone Number
573-632-5581
Fax Number
573-632-5876
person
Provider Business Mailing Address Details
Address
1125 Madison St
City
State
Zip
65101-5227
Phone Number
573-632-5581
Fax Number
573-632-5876
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2008020776 (Missouri)
Definition
Definition to come...
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