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Jacob Louis Muckerman, FNPBC
Family Nurse Practitioner in Cape Girardeau, Missouri
NPI 1275880429

Jacob Louis Muckerman is a Family Nurse Practitioner based in Cape Girardeau, MO and is specialized in Family. Jacob Louis Muckerman practices in Cape Girardeau, MO and has the professional credentials of FNPBC. The NPI Number for Jacob Louis Muckerman is 1275880429 and holds a License No. 2012027450 (Missouri).

The current practice location address for Jacob Louis Muckerman is 1723 Broadway St, Cape Girardeau, MO and can be reached out via phone at 573-339-1957 and via fax at 573-339-9709.

Location: 1723 Broadway St, Cape Girardeau, MO, 63701-4566
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Provider Profile Details
NPI Number
1275880429
Provider Name
Jacob Louis Muckerman
Credential
FNPBC
Provider Entity Type
Individual
Gender
Male
Address
1723 Broadway St, Cape Girardeau, MO, 63701-4566
Phone Number
573-339-1957
Fax Number
573-339-9709
Provider Enumeration Date
08/07/2012
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2012027450 01 MO MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1723 Broadway St
City
State
Zip
63701-4566
Phone Number
573-339-1957
Fax Number
573-339-9709
person
Provider Business Mailing Address Details
Address
1723 Broadway St
City
State
Zip
63701-4566
Phone Number
573-339-1957
Fax Number
573-339-9709
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2012027450 (Missouri)
Definition
Definition to come...
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