Individual
MRS. ALIVIA GRACE ACKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 256-9111
Mailing address
303 WESTMONT AVE, WEST PLAINS, MO 65775-2573
(660) 973-8377
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2025039655
MO
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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