Individual
JONNIE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1229 E SEMINOLE ST STE 320, SPRINGFIELD, MO 65804-2227
(417) 820-2064
Mailing address
1229 E SEMINOLE ST STE 320, SPRINGFIELD, MO 65804-2227
(417) 820-2064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018031148
MO
Other
Enumeration date
08/29/2018
Last updated
05/17/2022
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