Healthcare Provider Details

I. General information

NPI: 1649193749
Provider Name (Legal Business Name): TERESA MARIE MCDONALD APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 MAIN ST
KING CITY MO
64463-9564
US

IV. Provider business mailing address

321 MAIN ST
KING CITY MO
64463-9564
US

V. Phone/Fax

Practice location:
  • Phone: 660-373-0966
  • Fax:
Mailing address:
  • Phone: 660-373-0966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2026037036
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: