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Kimberly L Ebersol, APRN
Pediatric Nurse Practitioner in Columbia, Missouri
NPI 1679510390

Kimberly L Ebersol is a Pediatric Nurse Practitioner based in Kansas City, MO and is specialized in Pediatrics. Kimberly L Ebersol practices in Columbia, MO and has the professional credentials of APRN. The NPI Number for Kimberly L Ebersol is 1679510390 and holds a License No. 123260 (Missouri).

The current practice location address for Kimberly L Ebersol is 404 N Keene St, Columbia, MO and can be reached out via phone at 573-882-3961 and via fax at 573-884-4277.

Location: 404 N Keene St, Columbia, MO, 64184-3966
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679510390
Provider Name
Kimberly L Ebersol
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
404 N Keene St, Columbia, MO, 64184-3966
Phone Number
573-882-3961
Fax Number
573-884-4277
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
693696 01 MO HEALTHLINK
195637 01 MO BLUE SHIELD/BLUE CHOICE
429459506 05 MO
institution
Provider Business Practice Location Address Details
Address
404 N Keene St
City
Columbia
State
Missouri
Zip
65201-6626
Phone Number
573-882-3961
Fax Number
573-884-4277
person
Provider Business Mailing Address Details
Address
404 N Keene St
City
Columbia
State
Missouri
Zip
65201-6626
Phone Number
573-882-3961
Fax Number
573-884-4277
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
123260 (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
Pediatrics
Taxonomy
363LP0200X
License No.
123260 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
364SP0200X
License No.
123260 (Missouri)
Definition
Definition to come...
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