Individual
VANESSA KAY LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1613 S JEFFERSON ST UNIT A, AVA, MO 65608-5639
(417) 543-4631
Mailing address
806 COLLINS AVE, AVA, MO 65608-5532
(417) 553-5060
(417) 647-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024182076
VA
363LF0000X
Family Nurse Practitioner
216635
AR
363LP2300X
Primary Care Nurse Practitioner
0024182076
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
2020038842
MO
363LP2300X
Primary Care Nurse Practitioner
216635
AR
363LX0106X
Occupational Health Nurse Practitioner
0024182076
VA
363LX0106X
Occupational Health Nurse Practitioner
2020038842
MO
363LX0106X
Occupational Health Nurse Practitioner
216635
AR
Other
Enumeration date
01/17/2021
Last updated
10/17/2023
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