Healthcare Provider Details

I. General information

NPI: 1265822035
Provider Name (Legal Business Name): PEARL ANN HUNTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PEARL SMOTHERMAN

II. Dates (important events)

Enumeration Date: 01/30/2015
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W US HIGHWAY 60
MOUNTAIN VIEW MO
65548-8542
US

IV. Provider business mailing address

PO BOX 802843
KANSAS CITY MO
64180-2843
US

V. Phone/Fax

Practice location:
  • Phone: 417-934-7000
  • Fax:
Mailing address:
  • Phone: 417-730-6430
  • Fax: 417-269-7567

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015002157
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: