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Molly J Omohundro, APRN
Family Nurse Practitioner in Jefferson City, Missouri
NPI 1366956963

Molly J Omohundro is a Family Nurse Practitioner based in Jefferson City, MO and is specialized in Family. Molly J Omohundro practices in Jefferson City, MO and has the professional credentials of APRN. The NPI Number for Molly J Omohundro is 1366956963 and holds a License No. 2017043235 (Missouri).

The current practice location address for Molly J Omohundro is 3605 Country Club Dr, Jefferson City, MO and can be reached out via phone at 573-634-4878 and via fax at 573-636-3045. You can also correspond with Molly J Omohundro through the mailing address at PO BOX 104240, JEFFERSON CITY, MO - 65110-4240 (mailing address contact number: 573-635-5264).

Location: 3605 Country Club Dr, Jefferson City, MO, 65110-4240
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Provider Profile Details
NPI Number
1366956963
Provider Name
Molly J Omohundro
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3605 Country Club Dr, Jefferson City, MO, 65110-4240
Phone Number
573-634-4878
Fax Number
573-636-3045
Provider Enumeration Date
11/20/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420050202 05 MO
institution
Provider Business Practice Location Address Details
Address
3605 Country Club Dr
City
State
Zip
65109-1070
Phone Number
573-634-4878
Fax Number
573-636-3045
person
Provider Business Mailing Address Details
Address
3605 Country Club Dr
City
State
Zip
65109-1070
Phone Number
573-634-4878
Fax Number
573-636-3045
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2017043235 (Missouri)
Definition
Definition to come...
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