NPI 1285400051

Jordan Mertgen, MHAMLSASCPCM

Practitioner Driver Boonville, MO

Practice location

Address: 1728 Jesse James CT, Boonville, MO 65233-2874
Phone: (816) 416-6142

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence S081304001 (MO)

Other Driver providers in Missouri →

Registry record

NPI: 1285400051
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2023
Record last updated: 1 Dec 2023

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.