Individual
STACY ANN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PMHNP-BC
Contact information
Practice address
935 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Mailing address
935 STATE ROUTE VV, KENNETT, MO 63857-3822
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A01516 ANP
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2017008665
MO
Other
Enumeration date
02/28/2011
Last updated
07/23/2020
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