Individual
MS. VANESSA D PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 ELEVEN S STE 1A, COLUMBIA, IL 62236-1078
(618) 470-6020
(618) 470-6021
Mailing address
PO BOX 959203, SAINT LOUIS, MO 63195-2106
(618) 470-6020
(618) 470-6021
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209021640
IL
363LF0000X
Family Nurse Practitioner
133125
MO
363LF0000X
Family Nurse Practitioner
209021640
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425804838
—
MO
Enumeration date
06/07/2006
Last updated
09/19/2025
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