Travis Jewell Null, FNP
Nurse Practitioner, Family in Albany, MO. Individual provider (NPI-1).
NPI number1083084875
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1083084875
- Entity type
- Individual (NPI-1)
- Name
- Travis Jewell Null
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2015
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2015035371 | MO | Yes |
Practice location
1607 E Us Highway 136Albany, MO 64402-8223
Phone 660-726-3333 · Fax 660-726-3232
Mailing address
1607 E Us Highway 136Albany, MO 64402-8223
Phone 660-726-3333 · Fax 660-726-3232
Other practice locations
202 E Main St
Stanberry, MO 64489-1358
Stanberry, MO 64489-1358
Phone 660-783-2192
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