MEDICARE: SHARI LYNN HOOD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	14-130985-041	KS
2	163WE0003X	Emergency Registered Nurse	2013025126	MO
3	207Q00000X	Family Medicine Physician	2017034770	MO
4	363LF0000X	Family Nurse Practitioner	2017034770	MO

General Provider Information

NPI Number	:	1902353691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARI LYNN HOOD NP

Provider Business Mailing Address
First Line	:	2120 W KEARNEY ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-1653
Country	:	US
Telephone Number	:	417-869-6191
Fax Number	:

Provider Business Practice Location Address
First Line	:	2120 W KEARNEY ST
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65803-1653
Country	:	US
Telephone Number	:	417-869-6191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2016
Last Update Date	:	01/31/2022

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