Healthcare Provider Details

I. General information

NPI: 1619803970
Provider Name (Legal Business Name): SHELBIE SPRESSER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13636 COUNTY ROAD 210
JASPER MO
64755-8294
US

IV. Provider business mailing address

13636 COUNTY ROAD 210
JASPER MO
64755-8294
US

V. Phone/Fax

Practice location:
  • Phone: 620-704-5814
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number2023033728
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: