NPI 1104474741

Kaylee Jaynelle Ankrom

Practitioner Family Nurse Practitioner Bolivar, MO

Practice location

Address: 1300 N Oakland Ave, Bolivar, MO 65613-3018
Phone: (417) 326-7676

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2019032011 (MO)

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Registry record

NPI: 1104474741
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2019
Record last updated: 27 Nov 2019

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.