Whalio Doctors

NPI 1023056330

Jill A. Kliethermes, APRNBCFNP

Practitioner Nurse Practitioner Jefferson City, MO

Practice location

Address
1241 W Stadium Blvd, Jefferson City, MO 65109-6023
Phone
(573) 556-5747
Fax
(573) 635-5264
Mailing address
PO Box 104240, Jefferson City, MO 65110-4240

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 142074 (MO)

Registry record

NPI
1023056330
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Jun 2006
Record last updated
3 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.