| Doctor Name: | MS. SUSAN JENETTE PUMPHREY |
| NPI Number: | 1134243819 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FNP-C |
| License Number: | 102682 |
| Business Practice Address: | 2550 Lusk Dr Neosho, MO - 648508855 |
| Business Phone Number: | 4174512060 |
| Business Fax Number: | 4174516214 |
| Mailing Address: | 1701 W 26th St, Suite B JOPLIN |
| State: | MO |
| Postal Code: | 648041513 |
| Phone Number: | 4176278967 |
| Fax Number: | 4176278920 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 102682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |