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JOHN J. PERSHING VAMC
NPI 1659764595
General Acute Care Hospital - Rural in Poplar Bluff, MO

Active since March 17, 2015
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 686-4151(573) 778-4190 Get Directions Write a Review

NPPES record last updated: March 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John J. Pershing Vamc NPPES

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

JOHN J. PERSHING VAMC (NPI 1659764595) is a healthcare organization registered as a rural in Poplar Bluff, Missouri and active in the NPI registry since March 2015. The organization lists Bradford Joseph Davis, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1659764595
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameJOHN J. PERSHING VAMC
Location Address1500 N WESTWOOD BLVDPoplar Bluff, MO 63901-3318
Mailing Address1500 N Westwood BlvdPoplar Bluff, MO 63901-3318 · (573) 686-4151 · Fax (573) 778-4190
Phone(573) 686-4151
Fax(573) 778-4190
Organization SubpartNo
Authorized OfficialBradford Joseph DavisFamily Nurse Practitioner · (573) 776-0905
Enumeration DateMarch 17, 2015
✔ NPI 1659764595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in MO · 2015006783
1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901
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Other Providers at the Same Location NPPES 20

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

DORIS F HAYS FNP
Nurse Practitioner (Critical Care Medicine)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
MS. JOLENE M WOLF FNP
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 686-4151
DR. MARYLEE JENNINGS PSY.D.
Psychologist (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4789
MS. VIRGINIA ANN SARTINI MSW, LCSW
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4721
CHESTER CARTER ROBERTS JR. PA-C
Physician Assistant (Surgical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4393
KATHLEEN MARION LASAR
Nurse Practitioner (Psychiatric/Mental Health)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4603
MS. LINDA J DORAN II
Counselor (Mental Health)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4722
CLAY EDMUND FRANKLIN DPH MS
Pharmacist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-4240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John J. Pershing Vamc's NPI number?

The NPI number for John J. Pershing Vamc is 1659764595. It was assigned to this organization in the NPPES registry on March 17, 2015.

Where is John J. Pershing Vamc located?

John J. Pershing Vamc is located at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4151.

What is John J. Pershing Vamc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for John J. Pershing Vamc was last updated on March 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.