Individual provider · Type 1 NPI

Priscilla Antonette Tolbert

Psychiatric/Mental Health Nurse Practitioner · Fort Leonard Wood, MO

NPI number 1205104353 Active

Practice location

4234 Illinois Avenue
Fort Leonard Wood, MO 65473-9098

Fax (573) 596-5334

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X6482098-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2017025995 (OH)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205104353

Priscilla Antonette Tolbert's National Provider Identifier is 1205104353, issued on Dec 5, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Apr 21, 2026.