Individual
NICHOLAS PERRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3600 S NATIONAL AVE, SPRINGFIELD, MO 65807-7311
(417) 322-6622
(417) 350-1935
Mailing address
1721 W ELFINDALE ST, SPRINGFIELD, MO 65807-1295
(417) 708-9089
(417) 708-9089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021019843
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021019843
MO
Other
Enumeration date
06/02/2021
Last updated
08/19/2022
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