Organization
REDINGS MILL INTERNAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIA JEANNINE ELLIOTT NURSE PRACTITIONER (OWNER/FNP)
(417) 529-3273
Entity
Organization
Contact information
Practice address
454 REDINGS MILL RD, JOPLIN, MO 64804
(417) 529-3273
Mailing address
454 REDINGS MILL RD, JOPLIN, MO 64804-8921
(417) 529-3273
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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