IndividualActive
Angela Stonner, CPNP-PC
NPI 1821763855 · Pediatric Nurse Practitioner · Jefferson City, MO
Provider details
- NPI number
- 1821763855
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 2019035014 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 635-5264
Approximate (ZIP-level) locationGet directions
Mailing address
2049 Honeysuckle Ln
Jefferson City, MO 65109-5817
Registry dates
- Enumerated
- 2021-08-11
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.