Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENAE JENELLE RICHARDSON
ActiveRENAE JENELLE RICHARDSON is a Nurse Practitioner healthcare provider located in KIMBERLING CITY, Missouri. NPI 1659045847 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · KIMBERLING CITY, MO
Registration Details
- NPI Number
- 1659045847
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2021 (5.024606103662 yrs)
- Last Updated
- Nov 20, 2022
- License
-
2021019189 (MO)
Practice Information
- Address
-
11863 STATE HIGHWAY 13KIMBERLING CITY, MO, 656868362Browse MO providers · Browse ZIP 65686
- Phone
- 4177391995
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.