ALISHA BREANNA JAIN

SPRINGFIELD, MO
NPI1942718978
Former NameALISHA BREANNA DEAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2018001757)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  2018001757)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR  213500)
Enumeration Date2018-01-11
Last Update Date2023-04-17
Business Address
ALISHA BREANNA JAIN PMHNP-BC; APRN
3600 S NATIONAL AVE
SPRINGFIELD, MO 65807-7311
Phone number: 417-322-6622
Mailing Address
ALISHA BREANNA JAIN PMHNP-BC; APRN
3600 S NATIONAL AVE
SPRINGFIELD, MO 65807-7311
Phone number: