Provider Demographics
NPI:1215116991
Name:JOST, DANA MICHELLE (APRN-BC)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:MICHELLE
Last Name:JOST
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 DOCTORS PARK
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63703-4904
Mailing Address - Country:US
Mailing Address - Phone:573-334-7006
Mailing Address - Fax:573-334-7090
Practice Address - Street 1:36 DOCTORS PARK
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63703-4904
Practice Address - Country:US
Practice Address - Phone:573-334-7006
Practice Address - Fax:573-334-7090
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO155052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily