Individual provider · Type 1 NPI

Kellie M. Odonnell-Stockton, N.P.

Nurse Practitioner · St. Charles, MO

NPI number 1033314976 Active

Practice location

711 Veterans Memorial Pkwy Ste 300
St. Charles, MO 63303-2106

Call (636) 669-2350 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

201 Bjc Saint Peters Dr, Suite 100, St. Peters, MO 63376-3091 · (636) 916-8200

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	2000172033 (MO)
Nurse Practitioner Primary	363L00000X	2000172033 (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…

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About NPI 1033314976

Kellie M. Odonnell-Stockton, N.P.'s National Provider Identifier is 1033314976, issued on Jun 20, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Charles, MO. The record was last updated on Oct 11, 2024.