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Kelli Eagan, APRN-FNP-C

Nurse Practitioner, Family in Hannibal, MO. Individual provider (NPI-1).

NPI number1164023644
StatusActive
Last updated in NPPESNov 2, 2020

Details

NPI
1164023644
Entity type
Individual (NPI-1)
Name
Mrs. Kelli Eagan
Credential
APRN-FNP-C
Sex
Female
Sole proprietor
No
Enumeration date
Nov 2, 2020
Certification date
Nov 2, 2020
Last updated
Nov 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2020017362MOYes

Practice location

100 Medical Dr
Hannibal, MO 63401-6877

Phone 573-221-5250

Mailing address

5076 Highway U
Palmyra, MO 63461-3228

Phone 573-231-2327

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