MS. PHYLLIS JEAN HARTER FNP NPI 1619086816

NPI Information

NPI: 1619086816
Provider Name: MS. PHYLLIS JEAN HARTER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
440 E TAMPA ST
SPRINGFIELD, MO
ZIP 65806
Phone: (417) 831-0150
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MS. Phyllis Jean Harter, FNP is a family nurse practitioner in Springfield, MO. MS. Phyllis Jean Harter, FNP NPI is 1619086816. 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:

440 E TAMPA ST
SPRINGFIELD, MO
ZIP 65806-131
Phone: (417) 831-0150
Fax: (417) 831-0155

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/30/2011.

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	363LF0000X	Nurse Practitioner	Family	063773	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	424657633	MEDICAID	MISSOURI
2	827343959	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE

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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