Alcorn, Tommi Jean

Alcorn, Tommi Jean is an individual health care provider with primary practice located at 1337 S Sam Houston Blvd , Houston MO 65483-2046. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Alcorn, Tommi Jean can be contacted via phone (417) 967-5435.

Contact Information

Primary practice address
1337 S Sam Houston Blvd Houston MO 65483-2046
Phone: (417) 967-5435
Fax: (417) 967-5503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2012042941 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2019035915 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2019035915 Missouri

Profile Details

NPI number 1538717871
LBN Legal business name Alcorn, Tommi Jean
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2019
Last updated Nov 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538717871 NPPES
Missouri Other 26D0889777 CLIA
Missouri MEDICAID 420075368 CLIA

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