Healthcare Provider Details

I. General information

NPI: 1780362756
Provider Name (Legal Business Name): ZACHARY EDWARD DAMPIER MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 E EVERGREEN ST
SPRINGFIELD MO
65803-4300
US

IV. Provider business mailing address

3154 W REESE
SPRINGFIELD MO
65810-7101
US

V. Phone/Fax

Practice location:
  • Phone: 417-823-2950
  • Fax: 417-823-2970
Mailing address:
  • Phone: 417-414-7365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2023033760
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: