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Contact Information

JAN L ALTISER, PMHNP-BC
1601 E 28TH ST
TRENTON, MO64683-1178
 Phone: 660-359-4487
 Fax: 660-359-4129
 Website:
 

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
Indicates primary specialty

NPI Profile & details for JAN L ALTISER · (Female)

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
  • MO License # 2010013176
  • MO Medicaid 424240901
Hospital affiliation(s)
  • HEDRICK MEDICAL CENTER - (Critical Access)
    2799 NORTH WASHINGTON STREET
    CHILLICOTHE, MO 64601
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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