Provider Demographics
NPI:1326935834
Name:GROW, BETTY LYNN (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:LYNN
Last Name:GROW
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12967 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:PLATO
Mailing Address - State:MO
Mailing Address - Zip Code:65552-8786
Mailing Address - Country:US
Mailing Address - Phone:417-259-2737
Mailing Address - Fax:
Practice Address - Street 1:12967 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:PLATO
Practice Address - State:MO
Practice Address - Zip Code:65552-8786
Practice Address - Country:US
Practice Address - Phone:417-259-2737
Practice Address - Fax:417-259-2737
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025023623207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine