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Kristopher Mitchell Short
Gerontology Nurse Practitioner in Saint Joseph, Missouri
NPI 1215671128

Kristopher Mitchell Short is a Gerontology Nurse Practitioner based in Saint Joseph, MO and is specialized in Gerontology. Kristopher Mitchell Short practices in Saint Joseph, MO. The NPI Number for Kristopher Mitchell Short is 1215671128 and holds a License No. 2003020380 (Missouri).

The current practice location address for Kristopher Mitchell Short is 5325 Faraon St, Saint Joseph, MO and can be reached out via phone at 816-271-6000.

Location: 5325 Faraon St, Saint Joseph, MO, 64506-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215671128
Provider Name
Kristopher Mitchell Short
Credential
Provider Entity Type
Individual
Gender
Male
Address
5325 Faraon St, Saint Joseph, MO, 64506-3512
Phone Number
816-271-6000
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5325 Faraon St
City
Saint Joseph
State
Missouri
Zip
64506-3488
Phone Number
816-271-6000
Fax Number
person
Provider Business Mailing Address Details
Address
5325 Faraon St
City
Saint Joseph
State
Missouri
Zip
64506-3488
Phone Number
816-271-6000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
2022024067 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2022024067 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
2003020380 (Missouri)
Definition
Definition to come...
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