Provider Demographics
NPI:1922706118
Name:PEARCY, KIARRA KAY (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:KIARRA
Middle Name:KAY
Last Name:PEARCY
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:KIARRA
Other - Middle Name:
Other - Last Name:SEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:226 E US HIGHWAY 54
Mailing Address - Street 2:
Mailing Address - City:CAMDENTON
Mailing Address - State:MO
Mailing Address - Zip Code:65020-6819
Mailing Address - Country:US
Mailing Address - Phone:573-873-2521
Mailing Address - Fax:573-346-0053
Practice Address - Street 1:226 E US HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:CAMDENTON
Practice Address - State:MO
Practice Address - Zip Code:65020-6819
Practice Address - Country:US
Practice Address - Phone:573-873-2521
Practice Address - Fax:573-346-0053
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023006315363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily