Individual provider · Type 1 NPI

Cortny Osie-Ann Vandergrift

Women's Health Nurse Practitioner · Jefferson City, MO

NPI number 1215570585 Active

Practice location

1241 W Stadium Blvd
Jefferson City, MO 65109-6023

Mailing address

9950 Krcmar Trl
New Bloomfield, MO 65063-1947

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102X2019040282 (MO)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1215570585

Cortny Osie-Ann Vandergrift's National Provider Identifier is 1215570585, issued on Oct 19, 2019. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 5, 2023.