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General NPI Number Information
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NPI Number | 1295938934
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Entity Type | Individual
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Provider Name | JOSEPH ADAM REIGHARD FNP-C, PMHNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 3322 S CAMPBELL AVE STE T-1
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City | SPRINGFIELD
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State | MO
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Zip | 65807-4980
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Country | US
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Telephone | 417-220-4482
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Fax | 417-414-0017
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Provider Business Mailing Address
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Address Line | 2135 E INDEPENDENCE ST PMB 1093
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City | SPRINGFIELD
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State | MO
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Zip | 65804-3749
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Country | US
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Telephone | 417-830-9266
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Fax | 417-900-2992
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2016002363
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2023020987
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2019003456
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License Number State | MO
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