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Individual

STEPHANE COUNTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1636 S GLENSTONE AVE STE 100, SPRINGFIELD, MO 65804-1527
(417) 881-1900
(417) 883-5148
Mailing address
1636 S GLENSTONE AVE STE 100, SPRINGFIELD, MO 65804-1527
(417) 881-1900
(417) 883-5148

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012029474
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922356823
MO
Enumeration date
08/27/2012
Last updated
05/05/2026
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