Individual
CAROL LEE PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3098 OAK GROVE RD, POPLAR BLUFF, MO 63901-8938
(573) 778-2600
Mailing address
3098 OAK GROVE RD, POPLAR BLUFF, MO 63901-8938
(573) 778-2600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018025994
MO
Other
Enumeration date
09/15/2018
Last updated
07/15/2021
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