Renae Jenelle Richardson
Renae Jenelle Richardson is a Nurse Practitioner in Kimberling City, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.
- Years since qualifying
- 5
- Licensed in
- MO
- In the registry since
- 2021
Practice location Address checks out
11863 State Highway 13Kimberling City, MO 65686-8362
Phone: (417) 739-1995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2021019189 (MO) |
|---|
Record details
| NPI number | 1659045847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 3, 2021 |
| Last updated in NPPES | November 20, 2022 |
| Certification date | November 20, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Mercy Clinic Springfield Communities — 1126 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |