Individual
DEBORAH COLLEEN SHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BC, FNP
Contact information
Practice address
102 E MARION ST, PARIS, MO 65275-1041
(660) 327-4911
(660) 327-5501
Mailing address
102 E MARION ST, PARIS, MO 65275-1041
(660) 327-4911
(660) 327-5501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
065464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065464
RN NP LICENSE #
MO
05
—
425891603
—
MO
Enumeration date
10/23/2006
Last updated
11/27/2023
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