Individual
CAROL TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
109 N SHELBY ST, PO BOX 132, CLARENCE, MO 63437-1712
(573) 469-2084
Mailing address
109 N SHELBY ST, PO BOX 132, CLARENCE, MO 63437-1712
(573) 469-2084
(660) 699-2243
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0327043
MO
363LG0600X
Gerontology Nurse Practitioner
092882
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423945419
—
MO
Enumeration date
08/16/2005
Last updated
03/28/2019
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