Individual provider · Type 1 NPI
Renae Jenelle Richardson
Nurse Practitioner · Kimberling City, MO
Practice location
11863 State Highway 13
Kimberling City, MO 65686-8362
Mailing address
4332 E Ambrose Dr
Springfield, MO 65802-2425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2021019189 (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…
5 other providers at this address
- Fordland Clinic, Inc.Federally Qualified Health Center (FQHC) Kimberling City, MO NPI 1639421365
- Amelia Drew Langen, RDHDental Hygienist Kimberling City, MO NPI 1033032933
- Benton Drew Tolleson, LMSWClinical Social Worker Kimberling City, MO NPI 1477199503
- Maddisen Marie Oldham, DHDental Hygienist Kimberling City, MO NPI 1619890522
- Renita W. Randall, FNPFamily Nurse Practitioner Kimberling City, MO NPI 1285724625
About NPI 1659045847
Renae Jenelle Richardson's National Provider Identifier is 1659045847, issued on Aug 3, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kimberling City, MO. The record was last updated on Nov 20, 2022.