Organization · Type 2 NPI
Faithwalk Community Development Corporation
Nurse Practitioner · Paris, MO
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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Pastoral Counselor | 101YP1600X | None listed |
| Nurse Practitioner Primary | 363L00000X | 2004028021 (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.