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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Physician Assistant · CLINTON, MO

Registration Details

NPI Number
1730999731
Provider Type
Individual
Gender
Female
NPI Issued
Jan 10, 2025 (1.2909397338929 yrs)
Last Updated
Oct 30, 2025
License
2025008781 (MO)

Practice Information

Address
1600 N 2ND ST
CLINTON, MO, 647351192
Browse MO providers · Browse ZIP 64735
Phone
6608855511
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CLINTON, MO

Name Credential NPI
BRIAN LEE REGER PA-C 1639573678
MIRANDA RAY RUTH PA-C 1710662267
TARA D POOLE PA 1265249858
GRAHAM BELLAMY 1699638460
ASHTYN HOWARD 1972461051
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.