MOLLY J OMOHUNDRO APRN NPI 1366956963

NPI Information

NPI: 1366956963
Provider Name: MOLLY J OMOHUNDRO, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3605 COUNTRY CLUB DR
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 634-4878
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Molly J Omohundro, APRN is a family nurse practitioner in Jefferson City, MO. Molly J Omohundro, APRN NPI is 1366956963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3605 COUNTRY CLUB DR
JEFFERSON CITY, MO
ZIP 65109-070
Phone: (573) 634-4878
Fax: (573) 636-3045

The NPI 1366956963 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 10/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		53-77870-121	KANSAS	No
2	363LF0000X	Nurse Practitioner	Family	2017043235	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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