Individual
SHIRLEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNP, GNP
Contact information
Practice address
423 E LOGAN ST, MOBERLY, MO 65270-2222
(660) 263-6643
(660) 263-0333
Mailing address
423 E LOGAN ST, MOBERLY, MO 65270-2222
(660) 263-6643
(660) 263-0333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
062220
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062220
LICENSE
MO
Enumeration date
12/05/2006
Last updated
10/04/2007
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