ANGELINE ENNIS

SPRINGFIELD, MO
NPI1457812869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MO  2018044468)
Enumeration Date2019-03-28
Last Update Date2026-08-13
Business Address
ANGELINE ENNIS NP
2115 S FREMONT AVE STE 1100
SPRINGFIELD, MO 65804-2239
Phone number: 417-820-3554
Mailing Address
ANGELINE ENNIS NP
PO BOX 7411626
CHICAGO, IL 60674-5626
Phone number:
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