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NPI Code Detail

MEDICARE: ZACHARY EDWARD DAMPIER MSN, APRN, PMHNP-BC

MEDICARE: ZACHARY EDWARD DAMPIER MSN, APRN, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2023033760MO

General Provider Information

NPI Number : 1780362756
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZACHARY EDWARD DAMPIER MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 3154 W REESE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65810-7101
Country : US
Telephone Number : 417-414-7365
Fax Number :
Provider Business Practice Location Address
First Line : 1540 E EVERGREEN ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-4300
Country : US
Telephone Number : 417-823-2950
Fax Number : 417-823-2970
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 03/04/2026

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