Provider Demographics
NPI:1366437451
Name:DEAN-BATSON, JENNY SUE (RNC,WHNP)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:SUE
Last Name:DEAN-BATSON
Suffix:
Gender:F
Credentials:RNC,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 OKLAHOMA AVE
Mailing Address - Street 2:P.O. 278
Mailing Address - City:TRENTON
Mailing Address - State:MO
Mailing Address - Zip Code:64683-2587
Mailing Address - Country:US
Mailing Address - Phone:660-359-2855
Mailing Address - Fax:660-359-2855
Practice Address - Street 1:1506 OKLAHOMA AVE
Practice Address - Street 2:P.O. 278
Practice Address - City:TRENTON
Practice Address - State:MO
Practice Address - Zip Code:64683-2587
Practice Address - Country:US
Practice Address - Phone:660-359-2855
Practice Address - Fax:660-359-2855
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO127421363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health