Individual
KRISTINA AMBER ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3524 S CULPEPPER CIR, SPRINGFIELD, MO 65804-4270
(417) 429-9630
Mailing address
4941 N TOWNE CENTRE DR, OZARK, MO 65721-8280
(417) 551-4810
(417) 551-4814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016023152
MO
Other
Enumeration date
07/08/2016
Last updated
05/21/2026
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