Unknown Individual – Family Nurse Practitioner, NPI 1649376161
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1900, South Broadway Street, Oak Grove, Jackson County, Missouri, 64075, United States
BOX 670
OAK GROVE, MO 64075
Phone: (816) 690-6566
Fax: (816) 625-8276
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64075)
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