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Mrs. Takedria Mingo-berry, FNP-BC
Nurse Practitioner in Columbia, Missouri
NPI 1255816591

Takedria Mingo-berry is a Nurse Practitioner based in Independence, MO. Takedria Mingo-berry practices in Columbia, MO and has the professional credentials of FNP-BC. The NPI Number for Takedria Mingo-berry is 1255816591 and holds a License No. 2011034040 (Missouri).

The current practice location address for Takedria Mingo-berry is 2101 Corona Rd Ste 102, Columbia, MO and can be reached out via phone at 573-234-1800.

Location: 2101 Corona Rd Ste 102, Columbia, MO, 64058-1975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255816591
Provider Name
Takedria Mingo-berry
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2101 Corona Rd Ste 102, Columbia, MO, 64058-1975
Phone Number
573-234-1800
Fax Number
Provider Enumeration Date
10/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255816591 01 MO NPI
institution
Provider Business Practice Location Address Details
Address
2101 Corona Rd Ste 102
City
Columbia
State
Missouri
Zip
65203-2582
Phone Number
573-234-1800
Fax Number
person
Provider Business Mailing Address Details
Address
2101 Corona Rd Ste 102
City
Columbia
State
Missouri
Zip
65203-2582
Phone Number
573-234-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
53-81402-052 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2018035915 (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
Family
Taxonomy
363LF0000X
License No.
2011034040 (Missouri)
Definition
Definition to come...
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