Individual
RENEE SYDNEY PENDLETON GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
Mailing address
1500 W ASHLAND ST, NEVADA, MO 64772-1710
(417) 667-2666
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019032496
MO
Other
Enumeration date
08/22/2019
Last updated
04/05/2021
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