VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC
NPI 1295403202
Nurse Practitioner - Family in Kennett, MO

Q: What is Visiting Nurse Association Of Southeast Missouri Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 03, 2021

1124 INDEPENDENCE AVE, KENNETT, MO 63857(573) 888-5892(573) 888-0538 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Visiting Nurse Association Of Southeast Missouri Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC (NPI 1295403202) is a healthcare organization registered as a family in Kennett, Missouri and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Dexter and lists Shonda Hollomon Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295403202

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameVISITING NURSE ASSOCIATION OF SOUTHEAST MISSOURI INC

Location Address1124 INDEPENDENCE AVEKennett, MO 63857-1314

Mailing AddressPo Box 768Kennett, MO 63857-0768 · (800) 286-5892

Phone(573) 888-5892

Fax(573) 888-0538

Organization SubpartNo

Authorized OfficialShonda Hollomon YoungCeo · (573) 888-5892

Enumeration DateSeptember 3, 2021

Last NPPES UpdateMarch 2, 2023

NPPES CertifiedFebruary 28, 2023

✔ NPI 1295403202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1124 INDEPENDENCE AVE, Kennett, MO 63857

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Secondary Practice Location 1

Location 1919 West Business US Hwy 60Dexter, MO 63841 · Phone (800) 286-5892 · Fax (573) 888-0538

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIDNE BURKE FNP-C

Nurse Practitioner (Family)