Healthcare Provider Details

I. General information

NPI: 1902353691
Provider Name (Legal Business Name): SHARI LYNN HOOD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 W KEARNEY ST
SPRINGFIELD MO
65803-1653
US

IV. Provider business mailing address

2120 W KEARNEY ST
SPRINGFIELD MO
65803-1653
US

V. Phone/Fax

Practice location:
  • Phone: 417-869-6191
  • Fax:
Mailing address:
  • Phone: 417-869-6191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number14-130985-041
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number2013025126
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2017034770
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017034770
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: