Organization · Type 2 NPI

Faithwalk Community Development Corporation

Nurse Practitioner · Paris, MO

NPI number 1457778110 Active

Practice location

514 Fox St.
Paris, MO 65275

Fax (660) 327-6233

Mailing address

P.o. Box 119, 514 Fox St.
Paris, MO 65275

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Pastoral Counselor 101YP1600XNone listed
Nurse Practitioner Primary 363L00000X2004028021 (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…

About NPI 1457778110

Faithwalk Community Development Corporation's National Provider Identifier is 1457778110, issued on Mar 19, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paris, MO. The record was last updated on Mar 19, 2014.