Individual
MS. SUSAN JENETTE PUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
202 E 50TH ST, JOPLIN, MO 64804-4920
(417) 556-3400
Mailing address
202 E 50TH ST, JOPLIN, MO 64804-4920
(417) 556-3400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102682
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429150204
—
MO
Enumeration date
03/19/2007
Last updated
03/02/2023
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