Doctor Name: | JANE B STONNER |
NPI Number: | 1871690172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 058560 |
Business Practice Address: | 11016 E State Highway 76 Branson West, MO - 657379775 |
Business Phone Number: | 4172720400 |
Business Fax Number: | 4172720428 |
Mailing Address: | 11863 State Highway 13, Po Box 555 KIMBERLING CITY |
State: | MO |
Postal Code: | 656868362 |
Phone Number: | 4177391995 |
Fax Number: | 4177391893 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 058560 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |