Individual
MISS PRISCILLA ANTONETTE TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4234 ILLINOIS AVENUE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
(573) 596-5334
Mailing address
4234 ILLINOIS AVENUE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0522
(573) 596-5334
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
6482098-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017025995
OH
Other
Enumeration date
12/05/2011
Last updated
04/21/2026
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