Individual
BETTY MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, DNP, FPMHNP
Contact information
Practice address
210 N WILLIAMS ST UNIT C, MOBERLY, MO 65270-1583
(660) 263-7651
Mailing address
2885 W BATTLEFIELD ST, SPRINGFIELD, MO 65807-3952
(417) 761-5000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013028541
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2013028541
MO
Other
Enumeration date
03/27/2013
Last updated
09/25/2025
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