IndividualActive
Adam Mattison, NP-C
NPI 1972012854 · Family Nurse Practitioner · Mountain Grove, MO
Provider details
- NPI number
- 1972012854
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2017033180 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
500 E 19th St
Mountain Grove, MO 65711-1114
Phone: (417) 926-6563
Approximate (ZIP-level) locationGet directions
Mailing address
500 E 19th St
Mountain Grove, MO 65711-1114
Registry dates
- Enumerated
- 2017-09-24
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.