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Jerry W Dorris, FNP-C
Family Nurse Practitioner in Buffalo, Missouri
NPI 1386744811

Jerry W Dorris is a Family Nurse Practitioner based in Buffalo, MO and is specialized in Family. Jerry W Dorris practices in Buffalo, MO and has the professional credentials of FNP-C. The NPI Number for Jerry W Dorris is 1386744811 and holds a License No. 148324 (Missouri).

The current practice location address for Jerry W Dorris is 118 W Dallas St, Buffalo, MO and can be reached out via phone at 417-345-6101 and via fax at 417-829-4316.

Location: 118 W Dallas St, Buffalo, MO, 65622-8669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386744811
Provider Name
Jerry W Dorris
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
118 W Dallas St, Buffalo, MO, 65622-8669
Phone Number
417-345-6101
Fax Number
417-829-4316
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421151309 05 MO
institution
Provider Business Practice Location Address Details
Address
118 W Dallas St
City
Buffalo
State
Missouri
Zip
65622-8669
Phone Number
417-345-6101
Fax Number
417-829-4316
person
Provider Business Mailing Address Details
Address
118 W Dallas St
City
Buffalo
State
Missouri
Zip
65622-8669
Phone Number
417-345-6101
Fax Number
417-829-4316
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
148324 (Missouri)
Definition
Definition to come...
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