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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JONNA MARIE PENDERGRASS, RN

Active

MRS. JONNA MARIE PENDERGRASS, RN is a Diabetes Educator Nurse healthcare provider located in BOLIVAR, Missouri. NPI 1194032243 is currently active in the NPPES registry. Verify at CMS.

Diabetes Educator Nurse · BOLIVAR, MO

Registration Details

NPI Number
1194032243
Provider Type
Individual
Gender
Female
NPI Issued
Sep 10, 2010 (15.959314407842 yrs)
Last Updated
Sep 10, 2010
License
137375 (MO)

Practice Information

Address
1245 N BUTTERFIELD RD
BOLIVAR, MO, 656133017
Browse MO providers · Browse ZIP 65613
Phone
4173287702
Primary Specialty
Diabetes Educator Nurse
163WD0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.