Individual
MRS. AMY ELIZABETH MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
545 BROADRIDGE DR, JACKSON, MO 63755-3001
(573) 243-8408
(573) 243-0445
Mailing address
HC 1 BOX 77A, LEOPOLD, MO 63760-9714
(573) 238-2542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2004018094
MO
363LF0000X
Family Nurse Practitioner
Primary
2012025816
MO
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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