Healthcare Provider Details

I. General information

NPI: 1013838721
Provider Name (Legal Business Name): NKECHINYERE MARY HARRY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MU SCHOOL OF MEDICINE, DEPARTMENT OF PSYCHIATRY 1 HOSPITAL DRIVE
COLUMBIA MO
65212
US

IV. Provider business mailing address

MU SCHOOL OF MEDICINE, DEPARTMENT OF PSYCHIATRY 1 HOSPITAL DRIVE
COLUMBIA MO
65212
US

V. Phone/Fax

Practice location:
  • Phone: 573-882-8907
  • Fax:
Mailing address:
  • Phone: 573-882-8907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2026027831
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: