Healthcare Provider Details

I. General information

NPI: 1912476300
Provider Name (Legal Business Name): SPURLING AND WHITE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W. 17TH STREET STE D
MOUNTAIN GROVE MO
65711
US

IV. Provider business mailing address

100 W 17TH ST STE D
MOUNTAIN GROVE MO
65711-1060
US

V. Phone/Fax

Practice location:
  • Phone: 417-255-8645
  • Fax: 417-255-8649
Mailing address:
  • Phone: 417-349-4100
  • Fax: 417-349-4109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON SPURLING
Title or Position: OWNER
Credential: MD
Phone: 417-274-1720