| Doctor Name: | DEBRA S PRICE |
| NPI Number: | 1114905346 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 089868 |
| Business Practice Address: | 686 Lester St Poplar Bluff, MO - 63901 |
| Business Phone Number: | 5736862411 |
| Business Fax Number: | 5736868452 |
| Mailing Address: | Po Box 220, POPLAR BLUFF |
| State: | MO |
| Postal Code: | 63902 |
| Phone Number: | 5736862411 |
| Fax Number: | 5736868452 |
| NPI Enumeration Date: | 01/06/2006 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 089868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |