Individual
DARLA K DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2475 BROADWAY BLUFFS DR, COLUMBIA, MO 65201
(573) 777-9282
(573) 777-9569
Mailing address
2111 LEGEND COURT, JEFFERSON CITY, MO 65101
(573) 581-2348
(573) 581-9447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012030915
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275883290
—
MO
Enumeration date
09/18/2012
Last updated
12/12/2018
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