Individual
DR. STEPHANIE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
Mailing address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020019138
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020019138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420087485
—
MO
Enumeration date
08/07/2020
Last updated
10/08/2021
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