Individual
CRISTY LEIGH EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(918) 533-8210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2023045075
MO
363LF0000X
Family Nurse Practitioner
2023045075
MO
363LF0000X
Family Nurse Practitioner
215429
OK
Other
Enumeration date
10/31/2023
Last updated
02/15/2024
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