NPI 1023079407

Stacie Rennie Avery, PAC

Practitioner Physician Assistant Columbia, MO

Practice location

Address: 800 Hospital Dr, Columbia, MO 65201-5275
Phone: (573) 814-6000

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence AMD 272 (HI)

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Registry record

NPI: 1023079407
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2006
Record last updated: 18 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.