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Individual

MRS. SHELLIE DIANE BAIRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
3230 WISCONSIN AVE STE A, JOPLIN, MO 64804-4073
(417) 347-7800
Mailing address
471 W AMBER DR, ORONOGO, MO 64855-8240
(620) 778-2213

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1999141340
MO

Other

Enumeration date
09/24/2021
Last updated
09/28/2021
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