Individual
AMANDA S GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
222 E PRIMROSE ST STE E, SPRINGFIELD, MO 65807-5233
(417) 888-0167
Mailing address
222 E PRIMROSE ST STE E, SPRINGFIELD, MO 65807-5233
(417) 553-1080
(888) 472-5145
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022037796
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750717385
—
MO
05
—
200739758
—
AR
01
—
431560263
TRICARE
MO
01
—
P01262373
RR MCR
MO
Enumeration date
09/13/2013
Last updated
01/30/2023
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