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Jennifer Mattox
NPI 1235549700 · on the registry since 2014 · sole proprietor
Practice
- Address
- 5100 S Main Ave
D202
Springfield, MO 65810 - Phone
- (254) 214-5777
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri