| NPI | 1881093979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN OLSON Executive Director 417-862-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2025-06-11 |