Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandy Divine, FNP

Individual provider Family Nurse Practitioner · NPI 1457803363

Brandy Divine, FNP is a Nurse Practitioner in Kirksville, Missouri. Qualified in 2016, 10 years ago. Practices with Medical Director Services PC, a 81-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

900 E Laharpe St
Kirksville, MO 63501-4520
Phone: (660) 665-1962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016037534 (MO)

Record details

NPI number1457803363
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 26, 2016
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address1601 Old South River Rd, Saint Charles, MO 63303-4120

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Medical Director Services Pc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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