Individual provider · Type 1 NPI

Amberly Taite Eversole, PA-C

Medical Physician Assistant · Springfield, MO

NPI number 1508620733 Active

Practice location

960 E Walnut Lawn St Ste 201
Springfield, MO 65807-7865

Fax (417) 269-8333

Mailing address

PO Box 505673
St. Louis, MO 63150-5673

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2024004719 (MO)

Medical Physician Assistant: Definition to come...

8 other providers at this address

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About NPI 1508620733

Amberly Taite Eversole, PA-C's National Provider Identifier is 1508620733, issued on Feb 8, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springfield, MO. The record was last updated on Apr 26, 2024.