ANGELA MARIE PEMBERTON MED NPI 1144572371

NPI Information

NPI: 1144572371
Provider Name: ANGELA MARIE PEMBERTON, MED
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
701 W HIGH ST
JEFFERSON CITY, MO
ZIP 65101
Phone: (573) 659-1130
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Angela Marie Pemberton, MED is a professional counselor in Jefferson City, MO. Angela Marie Pemberton, MED NPI is 1144572371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 W HIGH ST
JEFFERSON CITY, MO
ZIP 65101-525
Phone: (573) 659-1130

The enumeration date for this NPI number is 10/11/2012 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	201203511	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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