Bonne Terre Healthcare Clinic LLC
Nurse Practitioner, Family in Bonne Terre, MO. Organization (NPI-2).
NPI number1962043802
StatusActive
Last updated in NPPESFeb 25, 2024
Details
- NPI
- 1962043802
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonne Terre Healthcare Clinic LLC
- Organization subpart
- No
- Enumeration date
- Oct 2, 2019
- Certification date
- Feb 25, 2024
- Last updated
- Feb 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | |
| 363LW0102X | Nurse Practitioner, Women's Health | – | – |
Practice location
11 S Division St Ste ABonne Terre, MO 63628-1701
Phone 573-723-1100 · Fax 573-723-1130
Mailing address
11 S Division St Ste ABonne Terre, MO 63628-1701
Phone 573-723-1100 · Fax 573-723-1130
Authorized official
Mary Elizabeth Chandler
Owner/Provider
5737231100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Family Nurse Practitioner providers in Bonne Terre, MO
- Tiffany Arnold, FNPNPI 1770190050
- Leisa Jan Blue, CFNPNPI 1851342950
- Mary Chandler, AANPNPI 1780082206
- Glenda Charlene Counts, FNPNPI 1215258744
- Jessica L Cox, FNP-BCNPI 1730962622
- Rachel Ann Francis, FNP-BCNPI 1073169363
- Mary Suzanne Jones, FNP-BCNPI 1003338385
- Rachel M Rayburn, FNP-CNPI 1821689910
- Ronay Rodgers, FNPNPI 1225562077
- Constance L Young, FNPNPI 1891767125
All 11 Family Nurse Practitioner providers in Bonne Terre · All 122 providers in Bonne Terre
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.