Tri-County Community Clinic, LLC
NPI #1811527138 in Portageville, Missouri
Provider Information
- NPI Number
- 1811527138
- Entity Type
- Organization
- Organization Name
- Tri-County Community Clinic, LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jan 26, 2020
- Last Updated
- Jun 9, 2022
Practice Location
- Address
- 46 E STATE HIGHWAY 162
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-9177
- Phone
- (573) 379-8031
Authorized Official
- Name
- LADONNA JEAN WILLIAMS, DNP, PMHNP-BC, FNP-C
- Title
- OWNER
- Phone
- (573) 521-8530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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