Marlisa G. Mcgowan
PNP-C | Nurse Practitioner - Pediatrics
120 W 16th St, Mountain Grove
Missouri, 65711-1039
417-926-6111
Marlisa G. Mcgowan is a Mountain Grove, Missouri based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Marlisa G. Mcgowan is 2015018288 for Pediatrics in Missouri. Her current practice location is 120 W 16th St, Mountain Grove. Patients can reach her at 417-926-6111 or can fax her at 417-926-6115. Marlisa G. Mcgowan is PNP-C with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1295119220.
Marlisa G. Mcgowan specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Marlisa G. Mcgowan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marlisa G. Mcgowan |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | PNP-C |
| Practice Address: | 120 W 16th St, Mountain Grove,
Missouri, 65711-1039 |
| Phone: | 417-926-6111 |
| Fax: | 417-926-6115 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1295119220 |
| NPI Enumeration Date: | 20 Jul, 2015 |
| NPI Last Update On: | 20 Nov, 2015 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marlisa G. Mcgowan are as mentioned below.
| License Number | Specialization | State | Status | |
| 2015018288 | Pediatrics | Missouri | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Marlisa G. Mcgowan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1295119220 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marlisa G. Mcgowan
Po Box 505164,
Saint Louis, Missouri |
| Zip: | 63150-5164 |
| Phone Number: | 417-829-4620 |
| Fax Number: | 417-829-4316 |
Patients can reach Marlisa G. Mcgowan at
120 W 16th St, Mountain Grove, Missouri or can
call to book an appointment on 417-926-6111.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.