Individual provider · Type 1 NPI

Madison Paige Pendergraft, APRN

Nurse Practitioner · Springfield, MO

NPI number 1366148306 Active

Practice location

3850 S National Ave Ste 600
Springfield, MO 65807-5288

Call (417) 882-4880 Map

Fax (417) 882-7843

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2018024713 (MO)
Nurse Practitioner Primary 363L00000X2023006102 (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 1366148306

Madison Paige Pendergraft, APRN's National Provider Identifier is 1366148306, issued on Feb 1, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, MO. The record was last updated on Feb 20, 2023.