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Contact Information

TOMMI J ALCORN, FNP
1337 S SAM HOUSTON BLVD
HOUSTON, MO65483-2046
 Phone: 417-967-5435
 Fax: 417-967-5503
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for TOMMI J ALCORN · (Female)

NPI # 1538717871
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 08/29/2019
Last updated 11/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2012042941
  • MO License # 2019035915
  • MO Medicaid 420075368
  • MO Other 26D0889777 CLIA
Hospital affiliation(s)
  • TEXAS COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1333 SAM HOUSTON BOULEVARD
    HOUSTON, MO 65483
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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