Healthcare Provider Details

I. General information

NPI: 1235320607
Provider Name (Legal Business Name): JAMES WILLIAM SKINNER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E SUNSHINE ST STE 214
SPRINGFIELD MO
65804-1886
US

IV. Provider business mailing address

2130 S PIN OAK DR
SPRINGFIELD MO
65809-3143
US

V. Phone/Fax

Practice location:
  • Phone: 417-262-6609
  • Fax: 417-530-1418
Mailing address:
  • Phone: 417-343-5692
  • Fax: 417-530-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2019033533
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: