NPI Profile for JAN L ALTISER in TRENTON, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
363LP0808X | 50 | Nurse Practitioner | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI Number | 1336478601 |
|
| Status | Active | |
| Credentials | PMHNP-BC (Adult Psychiatric-Mental Health Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 12/16/2009 | |
| Last updated | 02/03/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JAN L ALTISER
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