Connie Lynne Gurley, APRN-BC, FNP
Nurse Practitioner, Family in Kennett, MO. Individual provider (NPI-1).
NPI number1104115153
StatusActive
Last updated in NPPESMar 11, 2013
Details
- NPI
- 1104115153
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Connie Lynne Gurley
- Credential
- APRN-BC, FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2011
- Last updated
- Mar 11, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2011011192 | MO | Yes |
Practice location
1231 1st StSuite 5
Kennett, MO 63857-2527
Phone 573-888-8690 · Fax 573-717-1085
Mailing address
Po Box 728Kennett, MO 63857-0728
Phone 573-888-8690 · Fax 573-717-1085
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