IndividualActive
Cortny Vandergrift
NPI 1215570585 · Women's Health Nurse Practitioner · Jefferson City, MO
Provider details
- NPI number
- 1215570585
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2019040282 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 636-5248
Approximate (ZIP-level) locationGet directions
Mailing address
9950 Krcmar Trl
New Bloomfield, MO 65063-1947
Registry dates
- Enumerated
- 2019-10-19
- Last updated
- 2023-09-05
- Certified
- 2023-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.