Healthcare Provider Details

I. General information

NPI: 1710812227
Provider Name (Legal Business Name): MEGAN CARDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MERCY WAY STE 530
JOPLIN MO
64804-4524
US

IV. Provider business mailing address

636 W JACCARD PL
JOPLIN MO
64801-1019
US

V. Phone/Fax

Practice location:
  • Phone: 417-556-3828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: