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Jason D. Butler, FNP
Family Nurse Practitioner in Potosi, Missouri
NPI 1417073297

Jason D. Butler is a Family Nurse Practitioner based in Potosi, MO and is specialized in Family. Jason D. Butler practices in Potosi, MO and has the professional credentials of FNP. The NPI Number for Jason D. Butler is 1417073297 and holds a License No. 2003002337 (Missouri).

The current practice location address for Jason D. Butler is 1 Southtowne Dr, Potosi, MO and can be reached out via phone at 735-438-9355.

Location: 1 Southtowne Dr, Potosi, MO, 63664-5729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417073297
Provider Name
Jason D. Butler
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1 Southtowne Dr, Potosi, MO, 63664-5729
Phone Number
735-438-9355
Fax Number
Provider Enumeration Date
03/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
424914307 05 MO
institution
Provider Business Practice Location Address Details
Address
1 Southtowne Dr
City
Potosi
State
Missouri
Zip
63664-5729
Phone Number
735-438-9355
Fax Number
person
Provider Business Mailing Address Details
Address
1 Southtowne Dr
City
Potosi
State
Missouri
Zip
63664-5729
Phone Number
735-438-9355
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2003002337 (Missouri)
Definition
Definition to come...
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