Individual provider · Type 1 NPI

Mark Alan Proffer, ACNPC-AG

Nurse Practitioner · Cape Girardeau, MO

NPI number 1063259646 Active

Practice location

24 S Mount Auburn Rd
Cape Girardeau, MO 63703-4914

Call (573) 331-5544 Map

Mailing address

3719 County Road 435
Jackson, MO 63755-8184

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	2023041355 (MO)
Adult Health Nurse Practitioner	363LA2200X	2023041355 (MO)
Nurse Practitioner Primary	363L00000X	2023041355 (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 1063259646

Mark Alan Proffer, ACNPC-AG's National Provider Identifier is 1063259646, issued on Jul 11, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jul 11, 2024.