NPI 1326534728 · live from the CMS NPI Registry
Stacie Bevill, PNP
Nurse Practitioner, Pediatrics in Kirksville, MO. National Provider Identifier 1326534728, active.
NPI record
| NPI | 1326534728 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 402 W Jefferson St, Kirksville, MO 63501 |
| Practice phone | 660-627-2229 |
| Mailing address | 1416 Crown Dr, Kirksville, MO 63501 |
| Enumerated | July 9, 2018 |
| Last updated | July 9, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2018024366 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.