Individual
TERRY G REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN APRN FNP-BC
Contact information
Practice address
5571 N GRETNA RD, BRANSON VA OUT PATIENT CLINIC, BRANSON, MO 65616-7287
(417) 243-2300
(417) 243-2390
Mailing address
1440 STATE HIGHWAY 248, SUITE Q456, BRANSON, MO 65616-9655
(417) 243-2300
(417) 243-2390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
132076
MO
363LF0000X
Family Nurse Practitioner
132076
MO
363LP2300X
Primary Care Nurse Practitioner
132076
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424746717
—
MO
Enumeration date
03/15/2006
Last updated
09/20/2023
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