National Provider Identifier Database

FAITHWALK COMMUNITY DEVELOPMENT CORPORATION
Nurse Practitioner

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.


Contact Information

FAITHWALK COMMUNITY DEVELOPMENT CORPORATION
514 FOX ST.
PARIS, MO65275
Phone: 660-327-5752
Fax: 660-327-6233
Website:
Specialty Taxonomy Code
* Nurse Practitioner 363L00000X
Addiction (Substance Use Disorder) 101YA0400X
Mental Health 101YM0800X
Pastoral 101YP1600X

* Indicates primary specialty

NPI Profile & details for FAITHWALK COMMUNITY DEVELOPMENT CORPORATION

NPI Number 1457778110
Legal business name
LBN
FAITHWALK COMMUNITY DEVELOPMENT CORPORATION
Authorized official BETTY WILSON - (FNP-)
Entity Organization
Organization subpart No
Enumeration date 03/19/2014
Last updated 03/19/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 2004028021

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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