This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / MO
NURSE PRACTITIONER
Graduated: 2017
NPI: 1114494077
13700 OLD HALLS FERRY RD
BLACK JACK, MO 630334109
3143550760
Source: CMS National Downloadable File, September 2026.