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Josetta Eliese Wahwassuck, MSN,FNP,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Eldon, Missouri
NPI 1629049929

Josetta Eliese Wahwassuck is a Psychiatric/Mental Health Nurse Practitioner based in Clinton, MO and is specialized in Psychiatric/Mental Health. Josetta Eliese Wahwassuck practices in Eldon, MO and has the professional credentials of MSN,FNP,PMHNP. The NPI Number for Josetta Eliese Wahwassuck is 1629049929 and holds a License No. 096721 (Missouri).

The current practice location address for Josetta Eliese Wahwassuck is 206 S Mill St, Eldon, MO and can be reached out via phone at 888-403-1071.

Location: 206 S Mill St, Eldon, MO, 64735-8804
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Provider Profile Details
NPI Number
1629049929
Provider Name
Josetta Eliese Wahwassuck
Credential
MSN,FNP,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
206 S Mill St, Eldon, MO, 64735-8804
Phone Number
888-403-1071
Fax Number
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
29929044 01 BLUE CROSS BLUE SHIELD
P00430963 01 RAILROAD MEDICARE
423989722 05 MO
institution
Provider Business Practice Location Address Details
Address
206 S Mill St
City
State
Zip
65026-1864
Phone Number
888-403-1071
Fax Number
person
Provider Business Mailing Address Details
Address
206 S Mill St
City
State
Zip
65026-1864
Phone Number
888-403-1071
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
44870 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
096721 (Missouri)
Definition
Definition to come...
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