Individual provider · Type 1 NPI
Mark Joseph Knotts, NP
Nurse Practitioner · Bridgeton, MO
Practice location
12303 De Paul Dr
Bridgeton, MO 63044-2512
Fax (440) 922-0145
Mailing address
5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2012035227 (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…
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About NPI 1750809224
Mark Joseph Knotts, NP's National Provider Identifier is 1750809224, issued on Sep 6, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeton, MO. The record was last updated on Sep 6, 2017.