Individual
AMY KELLAMS STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
204 E 3RD ST, PORTAGEVILLE, MO 63873-1402
(573) 379-5467
(573) 379-5671
Mailing address
204 E 3RD ST, PORTAGEVILLE, MO 63873-1402
(573) 379-5467
(573) 379-5671
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2001008920
MO
363LF0000X
Family Nurse Practitioner
Primary
2001008920
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42928806
—
MO
Enumeration date
10/26/2005
Last updated
04/01/2014
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