Individual provider · Type 1 NPI

Reilly Lucille Etcheson, DNP, APRN-CNP, FNP

Nurse Practitioner · Joplin, MO

NPI number 1427610377 Active

Practice location

3130 Wisconsin Ave Ste 6
Joplin, MO 64804-2800

Fax (417) 209-9306

Mailing address

PO Box 2009
Joplin, MO 64803-2009

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2019021621 (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 1427610377

Reilly Lucille Etcheson, DNP, APRN-CNP, FNP's National Provider Identifier is 1427610377, issued on Jul 1, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Joplin, MO. The record was last updated on Jun 18, 2024.