Individual
STACIA N. BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
133 E MAIN ST, KAHOKA, MO 63445-1775
(660) 727-3388
(660) 727-2196
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2008011837
MO
Other
Enumeration date
04/17/2009
Last updated
08/17/2020
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