Ketterman, Jamie L.

Ketterman, Jamie L. is an sole proprietor health care provider with primary practice located at 1602 N 2Nd St , Clinton MO 64735-1192. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ketterman, Jamie L. can be contacted via phone (660) 885-8171.

Contact Information

Primary practice address
1602 N 2Nd St Clinton MO 64735-1192
Phone: (660) 885-8171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 2000162289 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2014022528 Missouri

Profile Details

NPI number 1609087402
LBN Legal business name Ketterman, Jamie L.
Credentials RN, BSN, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2007
Last updated Nov 16th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609087402 NPPES
Missouri MEDICAID 357499904

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