Individual
STEPHANIE ROSE PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2511 W EDGEWOOD DR STE H, JEFFERSON CITY, MO 65109-5869
(573) 761-5277
Mailing address
305 HAMLIN ST, JEFFERSON CITY, MO 65109-1375
(573) 821-6634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020033393
MO
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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