| Doctor Name: | JENNIFER SEVIER |
| NPI Number: | 1154697688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BC PNP |
| License Number: | 2003016632 |
| Business Practice Address: | 2873 S Ingram Ave Sedalia, MO - 653018480 |
| Business Phone Number: | 6608260027 |
| Business Fax Number: | |
| Mailing Address: | 3150 Cannon Dr, SEDALIA |
| State: | MO |
| Postal Code: | 653010788 |
| Phone Number: | 6605962572 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2012 |
| NPI Last Update Date: | 03/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 2003016632 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |