Individual
MR. RYAN CHRISTOPHER JUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP-BC
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2000
Mailing address
834 E ABBEY CT, NIXA, MO 65714-7746
(205) 534-0626
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2015026710
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2018039919
MO
Other
Enumeration date
05/31/2018
Last updated
11/02/2018
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