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Contact Information

ALLISON F BAX, FNP
3308 W EDGEWOOD DR
SUITE B
JEFFERSON CITY, MO65109-6891
 Phone: 573-893-7848
 Fax: 573-893-1984
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ALLISON F BAX · (Female)

NPI # 1811287642
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/13/2011
Last updated 06/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2006022700
  • MO License # 2011023149
Hospital affiliation(s)
  • CAPITAL REGION MEDICAL CENTER - (Acute Care)
    1125 MADISON ST
    JEFFERSON CITY, MO 65102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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