IndividualActive
Josetta Wahwassuck, MSN, FNP, PMHNP
NPI 1629049929 · Psychiatric/Mental Health Nurse Practitioner · Eldon, MO
Provider details
- NPI number
- 1629049929
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, FNP, PMHNP
- Sex
- Female
- Sole proprietor
- No
- License
- 096721 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
206 S Mill St
Eldon, MO 65026-1864
Phone: (888) 403-1071
Approximate (ZIP-level) locationGet directions
Mailing address
1800 Community
Clinton, MO 64735-8804
Additional practice locations (1)
- 227 Metro DrJefferson City, MO 65109-1134Phone: (888) 403-1071
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2021-06-28
- Certified
- 2021-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.