Healthcare Provider Details

I. General information

NPI: 1881093979
Provider Name (Legal Business Name): OZARKS AREA COMMUNITY ACTION CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2014
Last Update Date: 06/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S. BARNES AVE
SPRINGFIELD MO
65802-2204
US

IV. Provider business mailing address

215 S. BARNES AVE
SPRINGFIELD MO
65802-2204
US

V. Phone/Fax

Practice location:
  • Phone: 417-864-3410
  • Fax: 417-864-3416
Mailing address:
  • Phone: 417-864-3410
  • Fax: 417-864-3416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER LYNN OLSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 417-862-4314