Individual provider · Type 1 NPI
Marlisa Gayle McGowan, CPNP
Pediatric Nurse Practitioner · Springfield, MO
NPI number
1295119220
Active
Practice location
1335 E Republic Rd, Suite D
Springfield, MO 65804-7248
Fax (417) 313-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2015018288 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1295119220
Marlisa Gayle McGowan, CPNP's National Provider Identifier is 1295119220, issued on Jul 20, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Springfield, MO. The record was last updated on Nov 3, 2025.