Healthcare Provider Details

I. General information

NPI: 1275571986
Provider Name (Legal Business Name): CONNIE ANN MESSNER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 W 10TH ST
SEDALIA MO
65301-2540
US

IV. Provider business mailing address

326 S MOUNT AUBURN RD STE 201
CAPE GIRARDEAU MO
63703-4907
US

V. Phone/Fax

Practice location:
  • Phone: 660-827-7900
  • Fax:
Mailing address:
  • Phone: 573-803-5205
  • Fax: 573-332-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017000437
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: