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Colby Andrew Stack, NP
Nurse Practitioner in Sullivan, Missouri
NPI 1386414878

Colby Andrew Stack is a Nurse Practitioner based in Bourbon, MO. Colby Andrew Stack practices in Sullivan, MO and has the professional credentials of NP. The NPI Number for Colby Andrew Stack is 1386414878 and holds a License No. 2024000101 (Missouri).

The current practice location address for Colby Andrew Stack is 751 Sappington Bridge Rd, Sullivan, MO and can be reached out via phone at 573-468-4186.

Location: 751 Sappington Bridge Rd, Sullivan, MO, 65441-6248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386414878
Provider Name
Colby Andrew Stack
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
751 Sappington Bridge Rd, Sullivan, MO, 65441-6248
Phone Number
573-468-4186
Fax Number
Provider Enumeration Date
01/04/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
751 Sappington Bridge Rd
City
Sullivan
State
Missouri
Zip
63080-2354
Phone Number
573-468-4186
Fax Number
person
Provider Business Mailing Address Details
Address
751 Sappington Bridge Rd
City
Sullivan
State
Missouri
Zip
63080-2354
Phone Number
573-468-4186
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2024000101 (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 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
2024000101 (Missouri)
Definition
Definition to come...
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