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Individual

DONNA J SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3126 S JACKSON AVE, STE 201, JOPLIN, MO 64804-2534
(417) 781-4727
(417) 627-8727
Mailing address
3126 S JACKSON AVE, STE 201, JOPLIN, MO 64804-2534
(417) 781-4727
(417) 627-8727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2014003273
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1922427640
MO
05
200560000A
OK
05
201094210A
KS
Enumeration date
04/09/2014
Last updated
08/05/2015
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