Individual
STEPHANIE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016024180
MO
363LF0000X
Family Nurse Practitioner
Primary
2016020292
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019009779
MO
Other
Enumeration date
09/26/2014
Last updated
10/20/2021
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