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Mr. Jeffrey Michael Ditter, NP
Nurse Practitioner in Lake St Louis, Missouri
NPI 1508307190

Jeffrey Michael Ditter is a Nurse Practitioner based in Lafayette, MO. Jeffrey Michael Ditter practices in Lake St Louis, MO and has the professional credentials of NP. The NPI Number for Jeffrey Michael Ditter is 1508307190 and holds a License No. A155084 (Missouri).

The current practice location address for Jeffrey Michael Ditter is 100 Medical Plz, Lake St Louis, MO and can be reached out via phone at 636-625-5200 and via fax at 636-625-5314.

Location: 100 Medical Plz, Lake St Louis, MO, 70508-3870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508307190
Provider Name
Jeffrey Michael Ditter
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
100 Medical Plz, Lake St Louis, MO, 70508-3870
Phone Number
636-625-5200
Fax Number
636-625-5314
Provider Enumeration Date
03/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Medical Plz
City
Lake St Louis
State
Missouri
Zip
63367-1366
Phone Number
636-625-5200
Fax Number
636-625-5314
person
Provider Business Mailing Address Details
Address
100 Medical Plz
City
Lake St Louis
State
Missouri
Zip
63367-1366
Phone Number
636-625-5200
Fax Number
636-625-5314
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
A155084 (Iowa)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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