Healthcare Provider Details

I. General information

NPI: 1730056078
Provider Name (Legal Business Name): CYNTHIA M. COX PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 S FARRAR DR STE 109
CAPE GIRARDEAU MO
63701-4912
US

IV. Provider business mailing address

158 OLD TOWN LN
CAPE GIRARDEAU MO
63701-9678
US

V. Phone/Fax

Practice location:
  • Phone: 573-334-7055
  • Fax: 573-334-7961
Mailing address:
  • Phone: 573-334-7055
  • Fax: 573-334-7961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2025052901
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: