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Individual

ASHLEY QUALLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP-C

Contact information

Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5000
Mailing address
400 SW LONGVIEW BLVD STE 200, LEES SUMMIT, MO 64081-2116
(816) 477-7200
(737) 843-1121

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020007632
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2020007632
FAMILY NURSE PRACTITIONER
MO
Enumeration date
09/09/2020
Last updated
05/13/2021
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