institution
Tri-county Community Clinic, Llc
Psychiatric/Mental Health Nurse Practitioner in Portageville, Missouri
NPI 1811527138

Tri-county Community Clinic, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Portageville, MO and is specialized in Psychiatric/Mental Health. Tri-county Community Clinic, Llc practices in Portageville, MO. The NPI Number for Tri-county Community Clinic, Llc is 1811527138 and holds a License No. (Missouri).

The current practice location address for Tri-county Community Clinic, Llc is 46 E State Highway 162, Portageville, MO and can be reached out via phone at 573-379-8031 and via fax at 573-391-8050.

Location: 46 E State Highway 162, Portageville, MO, 63873-9177
institution
Provider Profile Details
NPI Number
1811527138
Provider Name
Tri-county Community Clinic, Llc
Credential
Provider Entity Type
Organization
Address
46 E State Highway 162, Portageville, MO, 63873-9177
Phone Number
573-379-8031
Fax Number
573-391-8050
Provider Enumeration Date
01/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861826968 05 MO
institution
Provider Business Practice Location Address Details
Address
46 E State Highway 162
City
State
Zip
63873-9177
Phone Number
573-379-8031
Fax Number
573-391-8050
person
Provider Business Mailing Address Details
Address
46 E State Highway 162
City
State
Zip
63873-9177
Phone Number
573-379-8031
Fax Number
573-391-8050
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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