Provider Demographics
NPI:1346341930
Name:ASBERRY, DEBORAH S (FNP)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:S
Last Name:ASBERRY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-0307
Mailing Address - Country:US
Mailing Address - Phone:417-667-9000
Mailing Address - Fax:417-667-9000
Practice Address - Street 1:10870 BENSON DR STE 2160
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1509
Practice Address - Country:US
Practice Address - Phone:833-357-3227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO89091363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO29806029OtherBCBS KC
MO427679832Medicaid
MOMA1523002Medicare PIN
MO29806029OtherBCBS KC