| Kristine Wall, NP | |
|
1511 Christy Dr, Jefferson City, MO 65101-2854 | |
| (573) 632-2777 | |
| (573) 632-2769 |
| Full Name | Kristine Wall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1511 Christy Dr, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275380628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2024015564 (Missouri) | Primary |
| Entity Name | Community Health Ctr Of Central Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538213244 PECOS PAC ID: 2062456015 Enrollment ID: O20050610000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Wall, NP Po Box 104780, Jefferson City, MO 65110-4780 Ph: () - | Kristine Wall, NP 1511 Christy Dr, Jefferson City, MO 65101-2854 Ph: (573) 632-2777 |
Jeremey James Laflamme, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 | |
Ashlee Kathleen Parkes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-634-4878 Fax: 573-634-4723 | |
Judith A. Wienke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 Fax: 573-634-7423 | |
Jill A. Kliethermes, APRN, BC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-5747 Fax: 573-635-5264 | |
Sara J Marso, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2511 W Edgewood Dr Ste D, Jefferson City, MO 65109 Phone: 573-761-0304 Fax: 573-635-0726 | |
Taran Elyse Burgess Murphy, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Madison St, Jefferson City, MO 65101 Phone: 573-644-6999 | |
Rachel Wieberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-635-5264 |