| Doctor Name: | PAUL E. BURRIS |
| NPI Number: | 1699100255 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | A003962 |
| Business Practice Address: | 500 E 19th St Mountain Grove, MO - 657111114 |
| Business Phone Number: | 4179266563 |
| Business Fax Number: | |
| Mailing Address: | 500 E 19th St, MOUNTAIN GROVE |
| State: | MO |
| Postal Code: | 657111114 |
| Phone Number: | 4179266563 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2013 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A003962 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |