Individual
NICOLE JO SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1020 HITT ST, COLUMBIA, MO 65212-0001
(573) 499-6084
(573) 499-6088
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2024013769
MO
Other
Enumeration date
03/01/2023
Last updated
04/22/2024
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