Jain, Alisha Breanna

Jain, Alisha Breanna is an individual health care provider with primary practice located at 3600 S National Ave , Springfield MO 65807-7311. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jain, Alisha Breanna can be contacted via phone (417) 322-6622.

Contact Information

Primary practice address
3600 S National Ave Springfield MO 65807-7311
Phone: (417) 322-6622
Fax: (417) 350-1935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2018001757 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 213500 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2018001757 Missouri

Profile Details

NPI number 1942718978
LBN Legal business name Jain, Alisha Breanna
Credentials PMHNP-BC; APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2018
Last updated Apr 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942718978 NPPES
Arkansas MEDICAID 259139758
Arkansas MEDICAID 420050654

Popular Providers