Healthcare Provider Details

I. General information

NPI: 1467319012
Provider Name (Legal Business Name): SUNSHINE LEEANN BUNCH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 W HUBBLE DR
MARSHFIELD MO
65706-1532
US

IV. Provider business mailing address

202 TILLMAN AVE # A
ROGERSVILLE MO
65742-9320
US

V. Phone/Fax

Practice location:
  • Phone: 417-859-4878
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number207Q0000X
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: