Individual
MRS. MICHELLE L. HOMESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2213
(417) 886-5000
(417) 886-1100
Mailing address
1911 S NATIONAL AVE, SUITE 301, SPRINGFIELD, MO 65804-2213
(417) 886-5000
(417) 886-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010005645
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336461268
—
MO
Enumeration date
02/19/2010
Last updated
05/25/2010
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