Jessie Ethel Shivers, LPN is a
Licensed Practical Nurse based in Knob Noster, Missouri. Jessie Ethel Shivers is licensed to practice in Missouri (license number 2021001393) and her current practice location is
205 W Wimer St, Knob Noster, Missouri. She can be reached at her office (for appointments etc.) via phone at
(660) 233-2213.
NPI number for Jessie Ethel Shivers is 1164367892 and her current mailing address is 205 W Wimer St, Knob Noster, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164367892.
Provider's Profile
| Full Name | Jessie Ethel Shivers |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 205 W Wimer St, Knob Noster, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164367892
- Provider Enumeration Date: 04/20/2026
- Last Update Date: 04/30/2026
Medical Identifiers
Medical identifiers for Jessie Ethel Shivers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164367892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 2021001393 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessie Ethel Shivers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jessie Ethel Shivers, LPN 205 W Wimer St, Knob Noster, MO 65336-1255 Ph: (660) 233-2213 | Jessie Ethel Shivers, LPN 205 W Wimer St, Knob Noster, MO 65336-1255 Ph: (660) 233-2213 |
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