Individual
DEIRDRE STOCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25376 STATE HIGHWAY 39 STE 301, SHELL KNOB, MO 65747-7900
(417) 269-2470
(417) 269-2473
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019010873
MO
Other
Enumeration date
04/26/2019
Last updated
01/03/2024
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