Individual
STEPHANIE MARIE YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3850 S NATIONAL AVE STE 700, SPRINGFIELD, MO 65807-5292
(417) 875-3065
(417) 875-3589
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018038759
MO
363L00000X
Nurse Practitioner
Primary
2018038759
MO
Other
Enumeration date
01/11/2019
Last updated
10/20/2021
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