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Individual

LISA MARIE KNIFONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1816 NE SPARTA DR, BLUE SPRINGS, MO 64029-7724
(660) 287-7753
Mailing address
1816 NE SPARTA DR, BLUE SPRINGS, MO 64029-7724
(660) 287-7753

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024026245
MO

Other

Enumeration date
08/06/2024
Last updated
06/26/2025
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