Individual
ASHLEE ROSSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 N BENTON AVE, SPRINGFIELD, MO 65806-1102
(417) 851-1563
(417) 831-8033
Mailing address
440 E TAMPA ST, SPRINGFIELD, MO 65806-1131
(417) 831-0150
(417) 831-8033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201400710
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019043760
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2010006881
STATE LICENSE
MO
01
—
2019043760
STATE LICENSE
MO
05
—
420011513
—
MO
Enumeration date
01/29/2014
Last updated
01/13/2020
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