Individual provider · Type 1 NPI
Oe Suk Hackney, ACNPC-AG
Acute Care Nurse Practitioner · Columbia, MO
NPI number
1629512256
Active
Practice location
1 Hospital Dr
Columbia, MO 65212-0001
Fax (573) 884-7453
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2017009935 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1629512256
Oe Suk Hackney, ACNPC-AG's National Provider Identifier is 1629512256, issued on Dec 16, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Columbia, MO. The record was last updated on Aug 23, 2022.