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Caleb Coulter

Clinical Nurse Specialist in Joplin, MO. Individual provider (NPI-1).

NPI number1124979679
StatusActive
Last updated in NPPESMar 31, 2026

Details

NPI
1124979679
Entity type
Individual (NPI-1)
Name
Caleb Coulter
Sex
Male
Sole proprietor
No
Enumeration date
Feb 9, 2026
Certification date
Mar 31, 2026
Last updated
Mar 31, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364S00000X Clinical Nurse Specialist2026012438MOYes
163W00000X Registered Nurse2017019077MO

Practice location

100 Mercy Way
Joplin, MO 64804-4524

Phone 417-781-2727

Mailing address

100 Mercy Way
Joplin, MO 64804-4524

Phone 417-781-2727

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