Individual
TAMMY L. WHIPPLE MANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.N., F.N.P.
Contact information
Practice address
1220 E REPUBLIC RD, SPRINGFIELD, MO 65804
(417) 823-4893
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
127607
MO
363LF0000X
Family Nurse Practitioner
Primary
127607
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425276805
—
MO
Enumeration date
09/29/2005
Last updated
09/02/2018
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