person
Mrs. Tonya Mischell Lucas, CPNP-PC
Pediatric Nurse Practitioner in Poplar Bluff, Missouri
NPI 1811661861

Tonya Mischell Lucas is a Pediatric Nurse Practitioner based in Poplar Bluff, MO and is specialized in Pediatrics. Tonya Mischell Lucas practices in Poplar Bluff, MO and has the professional credentials of CPNP-PC. The NPI Number for Tonya Mischell Lucas is 1811661861 and holds a License No. 2021015302 (Missouri).

The current practice location address for Tonya Mischell Lucas is 2210 Barron Rd Ste 120, Poplar Bluff, MO and can be reached out via phone at 573-785-6536.

Location: 2210 Barron Rd Ste 120, Poplar Bluff, MO, 63901-1908
person
Provider Profile Details
NPI Number
1811661861
Provider Name
Tonya Mischell Lucas
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
2210 Barron Rd Ste 120, Poplar Bluff, MO, 63901-1908
Phone Number
573-785-6536
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2021015302 01 MO STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2210 Barron Rd Ste 120
City
State
Zip
63901-1908
Phone Number
573-785-6536
Fax Number
person
Provider Business Mailing Address Details
Address
2210 Barron Rd Ste 120
City
State
Zip
63901-1908
Phone Number
573-785-6536
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
2021015302 (Missouri)
Definition
Definition to come...
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