Individual
GERRI LYNN STUPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP-C
Contact information
Practice address
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807-5154
(417) 269-9812
(417) 269-9966
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014029935
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420017128
—
MO
Enumeration date
09/23/2014
Last updated
01/30/2019
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