Individual
DEBORAH ANN UPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
(417) 269-2235
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019028126
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420076121
—
MO
Enumeration date
06/27/2006
Last updated
05/23/2022
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