Individual provider · Type 1 NPI

Wanda R. Shewmon, N.P.

Nurse Practitioner · Poplar Bluff, MO

NPI number 1023062536 Active

Practice location

2210 Barron Rd
Poplar Bluff, MO 63901-1908

Fax (573) 686-1315

Other practice locations

  • 965 Mattox Dr, Sullivan, MO 63080-2365 · (573) 860-6000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X128156 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

26 other providers at this address

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About NPI 1023062536

Wanda R. Shewmon, N.P.'s National Provider Identifier is 1023062536, issued on May 20, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 17, 2025.