Individual
MICHELLE A HASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP
Contact information
Practice address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Mailing address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021017741
MO
363LF0000X
Family Nurse Practitioner
2021017741
MO
Other
Enumeration date
10/12/2021
Last updated
09/22/2025
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