Individual
JOHN M. DERFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-C
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015035372
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KS
05
—
PENDING
—
MO
Enumeration date
10/05/2015
Last updated
12/18/2019
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