Individual
MRS. TERRY LEE PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A-GPCNP-C
Contact information
Practice address
2111 STATE HIGHWAY AA, SIKESTON, MO 63801-8382
(573) 380-4521
Mailing address
2111 STATE HIGHWAY AA, SIKESTON, MO 63801-8382
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2014010580
MO
363LG0600X
Gerontology Nurse Practitioner
2014010580
MO
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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