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Jennifer Stark
Addiction (Substance Use Disorder) Registered Nurse in Rolla, Missouri
NPI 1417371576

Jennifer Stark is an Addiction (Substance Use Disorder) Registered Nurse based in Rolla, MO and is specialized in Addiction (Substance Use Disorder). Jennifer Stark practices in Rolla, MO. The NPI Number for Jennifer Stark is 1417371576 and holds a License No. 2012021855 (Missouri).

The current practice location address for Jennifer Stark is 1450 E 10Th St, Rolla, MO and can be reached out via phone at 573-364-7551.

Location: 1450 E 10Th St, Rolla, MO, 65401-3648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417371576
Provider Name
Jennifer Stark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1450 E 10Th St, Rolla, MO, 65401-3648
Phone Number
573-364-7551
Fax Number
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1450 E 10Th St
City
Rolla
State
Missouri
Zip
65401-3648
Phone Number
573-364-7551
Fax Number
person
Provider Business Mailing Address Details
Address
1450 E 10Th St
City
Rolla
State
Missouri
Zip
65401-3648
Phone Number
573-364-7551
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Addiction (Substance Use Disorder)
Taxonomy
163WA0400X
License No.
2012021855 (Missouri)
Definition
Definition to come...
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