| Doctor Name: | MRS. CONNIE LYNNE GURLEY |
| NPI Number: | 1104115153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN-BC, FNP |
| License Number: | 2011011192 |
| Business Practice Address: | 1231 1st St Suite 5 Kennett, MO - 638572527 |
| Business Phone Number: | 5738888690 |
| Business Fax Number: | 5737171085 |
| Mailing Address: | Po Box 728, KENNETT |
| State: | MO |
| Postal Code: | 638570728 |
| Phone Number: | 5738888690 |
| Fax Number: | 5737171085 |
| NPI Enumeration Date: | 03/30/2011 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2011011192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |