Individual
MS. ANDIE MICHELLE DORRIS
Active
Individual
MS. ANDIE MICHELLE DORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245579
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
2026024702
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
AG05260005
MO
Other
Enumeration date
11/18/2021
Last updated
07/28/2026
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