Healthcare Provider Details

I. General information

NPI: 1437065265
Provider Name (Legal Business Name): HERO HEALTH PRACTITIONERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2218 W 32ND ST
JOPLIN MO
64804-3514
US

IV. Provider business mailing address

19401 E US HIGHWAY 40 STE 140
INDEPENDENCE MO
64055-5400
US

V. Phone/Fax

Practice location:
  • Phone: 417-623-5264
  • Fax: 417-490-4641
Mailing address:
  • Phone: 816-957-1561
  • Fax: 816-957-1562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANIEL BROWN
Title or Position: OWNER
Credential:
Phone: 816-957-1561