| Julitta J Shirley, FNP | |
|
75 Smithson Dr., Ste. A, Cassville, MO 65625-9429 | |
| (417) 847-3500 | |
| (417) 847-3523 |
| Full Name | Julitta J Shirley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 75 Smithson Dr., Cassville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881784635 | NPI | - | NPPES |
| 190895 | Other | BLUE CROSS OF MO | |
| 428772503 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 095274 (Missouri) | Primary |
| Entity Name | Cox-monett Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942467410 PECOS PAC ID: 0345236667 Enrollment ID: O20040422000710 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447324660 PECOS PAC ID: 5799787784 Enrollment ID: O20070206000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Julitta J Shirley, FNP Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Julitta J Shirley, FNP 75 Smithson Dr., Ste. A, Cassville, MO 65625-9429 Ph: (417) 847-3500 |
Amanda Gibbons, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 92 Main St, Cassville, MO 65625 Phone: 417-847-5225 Fax: 417-847-5425 | |
Pamela J Whitlock, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4016 Main St, Cassville, MO 65625 Phone: 417-847-0057 Fax: 417-847-0079 | |
Mackenzie Taylor Bradley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 Smithson Dr Ste A, Cassville, MO 65625 Phone: 417-847-3500 Fax: 417-847-3523 | |
Elizabeth Ann Goetz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 92 Main St, Cassville, MO 65625 Phone: 417-847-5225 Fax: 417-847-5425 | |
Kasey King, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 94 Main St, Cassville, MO 65625 Phone: 417-847-6000 | |
Cheryl J. Dalton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4016 Main St, Cassville, MO 65625 Phone: 417-847-0057 Fax: 417-847-0079 | |
Crystal Neises, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 92 Main St, Cassville, MO 65625 Phone: 417-547-5225 |