| Memory Gunsaru, NP | |
| 
					202 E 50th St, Joplin, MO 64804-4920  | |
| (417) 556-3400 | |
| (417) 556-3401 | 
| Full Name | Memory Gunsaru | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 202 E 50th St, Joplin, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891081303 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022037515 (Missouri) | Primary | 
| Entity Name | Mercy Clinic Joplin Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215264817 PECOS PAC ID: 0547300196 Enrollment ID: O20091218000092  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Memory Gunsaru, NP 202 E 50th St, Joplin, MO 64804-4920 Ph: (417) 556-3400  | Memory Gunsaru, NP 202 E 50th St, Joplin, MO 64804-4920 Ph: (417) 556-3400  | 
Thad L Taylor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mercy Way, Joplin, MO 64804 Phone: 417-556-2300 Fax: 417-556-2906  | |
Ashley Southern-devoe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3401 Mcintosh Cir Ste 200, Joplin, MO 64804 Phone: 417-347-3703  | |
Kevin Michael Teel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2829 S. Jackson Avenue, Joplin, MO 64804 Phone: 417-624-0440 Fax: 417-624-9652  | |
Brittany Ann Putt, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2719 E 32nd St, Joplin, MO 64804 Phone: 417-782-5522 Fax: 417-782-5866  | |
Sandra J Tinney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3202 Mcintosh Circle, Suite 101, Joplin, MO 64804 Phone: 417-781-9200 Fax: 417-781-9471  | |
Susan Bounous, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2613 S Main St Ste D, Joplin, MO 64804 Phone: 417-553-7920 Fax: 877-464-5922  | |
Crystal Joy Dyer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E 32nd St, Suite 20, Joplin, MO 64804 Phone: 417-781-2046 Fax: 417-781-2086  |