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Individual

JULIE ANN STAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 625-2300
(417) 625-2005
Mailing address
2817 SAINT JOHNS BLVD, JOPLIN, MO 64804-1563
(417) 625-2300
(417) 625-2005

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107286
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200267150B
KS
05
428371603
MO
Enumeration date
01/17/2006
Last updated
02/10/2012
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