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Jamie L. Ketterman, RN,BSN,CDE
Family Nurse Practitioner in Clinton, Missouri
NPI 1609087402

Jamie L. Ketterman is a Family Nurse Practitioner based in Clinton, MO and is specialized in Family. Jamie L. Ketterman practices in Clinton, MO and has the professional credentials of RN,BSN,CDE. The NPI Number for Jamie L. Ketterman is 1609087402 and holds a License No. 2000162289 (Missouri).

The current practice location address for Jamie L. Ketterman is 1602 N 2Nd St, Clinton, MO and can be reached out via phone at 660-885-8171.

Location: 1602 N 2Nd St, Clinton, MO, 64735-1192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609087402
Provider Name
Jamie L. Ketterman
Credential
RN,BSN,CDE
Provider Entity Type
Individual
Gender
Female
Address
1602 N 2Nd St, Clinton, MO, 64735-1192
Phone Number
660-885-8171
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
357499904 05 MO
institution
Provider Business Practice Location Address Details
Address
1602 N 2Nd St
City
Clinton
State
Missouri
Zip
64735-1192
Phone Number
660-885-8171
Fax Number
person
Provider Business Mailing Address Details
Address
1602 N 2Nd St
City
Clinton
State
Missouri
Zip
64735-1192
Phone Number
660-885-8171
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
2014022528 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2000162289 (Missouri)
Definition
Definition to come...
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