Individual
MS. ALISHA JOY TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2016003735
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922466812
—
MO
Enumeration date
02/05/2016
Last updated
07/21/2022
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