We have a few float medical providers that travel to most of our clinic locations. We also have providers that have “specialties” that can see you via telehealth. 

Brigitte Shaffer, FNP

Float FNP

Miranda Dunlap, FNP-BC

Float FNP

Ty Palmer - Peer Specialist

Ty Palmer, BS

Peer Specialist

Call: 573-785-6536

Anna Patterson, CRADC

Certified Substance Use Counselor

Call: 573-785-6536

To find out more information about what a Certified Peer Specialist can do for you visit our SERVICES.

Robin C. Harwell, MS, RD, LD, CDCES

Licensed Dietician and Certified Diabetes Care and Education Specialists CONTACT YOUR LOCAL CLINIC TO SCHEDULE AN APPOINTMENT Robin joined Missouri Highlands Health Care in December of 2011. As a registered dietitian, she provides nutrition education at all of the Missouri Highlands clinics on a bi-weekly to monthly basis. Robin is a graduate of the University of Missouri (Mizzou). She received a master of science in gerontology from Kansas State (K-State) in May 2011. She is a certified diabetes educator with over 20 years of experience teaching diabetes management skills.

202 Allen Street, Annapolis, MO 63620
Ph: (573) 598-4213 / Toll Free: (866) 598-4213 / Fax: (573) 598-4602
Hours: Tues, Wed & Fridays / 8:00am – 4:30pm

Ashley Starnes, FNP

Ashley Starnes is a Certified Family Nurse Practitioner at the Annapolis Family Clinic. Ashley has had clinical nursing experience in Family Medicine since 2005. She is a 2016 graduate from the University of Missouri- St. Louis with a Master’s of Science in Nursing. Ashley has also received training and now certified in Medication Assistant Treatment (MAT). In Ashley’s spare time, she enjoys spending time with her husband Ben Starnes and their three sons, Noah, Rylan and Hudson.

Terra Graves, LCSW

Terra is a Licensed Clinical Social Worker (LCSW) currently seeing patients in the Annapolis Family Clinic and Viburnum Medical Clinic. She obtained her Bachelor’s Degree in Social Work from Southeast Missouri State University, and went on to graduate from the University of Missouri, Columbia with her Master’s Degree in Social Work. Terra has 14 years of experience working in a variety of settings, including hospice care and minimum-security and maximum-security mental health facilities. She has worked with both individuals and groups, provided care in client homes, taught psycho-educational classes in inpatient hospitals, and provided long term and intensive group therapy, offering crisis intervention as necessary in each role she has served. She specializes in end of life issues, grief, addressing past trauma, mental illness, and working with criminal and sexual offenders. She works with both children and adults, as well as individuals and families, utilizing a broad approach to best meet the needs of each client. Terra has continued to further her education and knowledge in order to best assist those she works with. She has obtained advanced training in Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and risk assessment and treatment of sexual offenders. Terra resides in Annapolis with her husband and three sons. In her spare time, she enjoys spending time with her family and exploring nature.

115 Walnut Street, Ellington, MO 63638
Ph: (573) 663-3177 / Toll Free: (866) 738-1321 / Fax: (573) 663-3188
Hours: M-F / 7:30am – 4:00pm

Bradley R. Daniel, D.M.D & Dental Director

Dr. Bradley Daniel is a native of Arizona. He is a graduate of A.T. Still University – Arizona School of Dentistry and Oral Health.

Stephanie Bland, RDH

Stephanie Bland, RDH graduated with an associate’s degree in Advanced Fitness and Exercise Science in 2014. In 2017 she decided to further her education and earned her Dental Hygiene degree from Missouri Southern State University in Joplin, MO. In her spare time, she enjoys running, reading, and spending time with her children, Krew and Leighton. Stephanie is looking forward to providing high quality, compassionate dental services to the community!

Meagan Berry, RDH

Mobile Dental Unit & Dental Outreach

Big Springs Medical Clinic

405 Main Street, Van Buren, MO 63965
Ph: (573) 323-4253 / Toll Free: (877) 272-9621 / Fax: (573) 323-4465
Hours: M-F / 8:00am – 4:30pm

Michelle E Burnham, FNP-BC

Amy Manning, DNP, APRN, FNP-C

Amy Manning, DNP, APRN, FNP-C is a 2016 graduate of Frontier Nursing University with family practice certification through the American Academy of Nurse Practitioners. In December 2017, Amy furthered her education and completed her Doctor of Nursing Practice degree through Frontier Nursing University making her one of the few nurse practitioners in Southeast Missouri to hold this degree. Amy has been a registered nurse for 18 years with both hospital and home health nursing experience. As a nurse practitioner, she has worked in women’s health and family practice. She lives on a cattle farm near Ellington with her husband and three children. In her spare time, she enjoys spending time on her farm, watching her children play sports, spending time outdoors and boating on the river, and attending church with her family. Amy is accepting patients (children and adults) at Big Springs Medical Clinic in Van Buren, MO.

Kimberlee Barnes, PSY. D.

Dr. Barnes sees patients at Big Springs Medical Clinic Monday through Thursdays. Dr. Kimberlee Barnes is a licensed Clinical Psychologist in the states of Missouri and Georgia. She received her Bachelors of Arts from the University of Massachusetts in Psychology, her Masters of Education from Lesley University in Counseling Psychology and her Doctorate from Georgia School of Professional Psychology/Argosy University in Child and Family Therapy. She has worked in the profession for over 30 years. Prior to moving to Missouri, Dr. Barnes worked in a private practice in Georgia. Dr. Barnes also worked for the University of Georgia providing mental health treatment to students in need. In addition, she has worked as a Crisis Worker in Mental Health facilities and hospitals. She worked as a Crisis Reunification therapist for teens placed in shelters. She has experience with treating trauma, adjustment disorders, grief, anxiety, depression, Post Traumatic Stress Disorder and various forms of abuse. Her experience includes working with children, teens, adults, families and couples. Dr. Barnes utilizes a variety of therapeutic techniques depending on the individual and the presenting issues.

Doniphan Family Clinic

109 Leroux Street, Doniphan, MO 63935
Ph: (573) 996-2136 / Toll Free: (833) 905-0144 / Fax: (573) 996-3105
Hours: M-F / 8:30am – 5:00pm

Dr. Palani

Meyyappan Palaniappan, MD (Dr. Palani) will see patients at the Doniphan Family Clinic and Doniphan Urgent Care.

Holly Adams, FNP-BC

Holly Adams is a Board-Certified Family Nurse Practitioner. Holly is a Walden University alumna, where she received her Master of Science in Nursing degree. She received board certification as a Family Nurse Practitioner through the ANCC in 2020. Holly began her nursing career as an LPN in 2005 and has continued to advance her nursing education and skills throughout her career. Holly has 16 years of nursing experience, including 8 years of Pediatric nursing care. She is a lifelong resident of Southeast Missouri and feels privileged to be serving her neighbors and friends. She lives in Neelyville, MO with her husband and two children. She enjoys spending time with her family, attending church, beekeeping with her husband, and jogging.

Stacy Bentsen, MA, PLPC

Stacy is a native of Doniphan Missouri and has recently moved back to her hometown. Stacy graduated from Southeast Missouri State University with her bachelor's degree in Psychology and her Masters in Mental Health Counseling and she specializes in Acceptance and Commitment Therapy and Cognitive Behavioral Therapy. Stacy has a 15-year background in chiropractic and holistic healthcare. She loves to study the mind and body connection through her practice and teaching of yoga, meditation, and visualization techniques to help with emotional and mental stress. Stacy's hobbies include all things nature! She loves traveling, hiking and side by side riding trails, as well as boating and kayaking the Current River with friends and family.

Jennifer Smith, FNP-BC

Doniphan Urgent Care

109 Plum Street, Ste A
Doniphan, Missouri 63935
Ph: (573) 351-0150 / Toll Free:  / Fax: (573) 996-5104
Hours: M-F / 10:00AM – 6:00PM

Jo Crabtree, FNP-BC

Navy Veteran, Jo Crabtree, has had ER nursing experience since 1999. She is also a 2011 graduate from the Frontier Nursing University. Jo is currently attending Walden University and will graduate this summer with Doctor of Nursing Practice. She loves spending time with her husband, David; Maxx her Australian Shepherd. Jo has 3 children and 8 grandchildren. In her spare time Jo enjoys gardening, cooking, all outdoor activities, travel and motorcycle riding.

Wendy Raney, FNP

Doniphan Integrated Care Clinic

109 Plum Street, Ste B
Doniphan, Missouri 63935
Ph: (573) 351-0220 / Toll Free: (877) 226-0064  / Fax: (573) 996-2246
Hours: M-F / 8:30AM – 5:00PM

Kathreen Friend, CPNP-PC

Kathreen (Katie) Friend was born in Poplar Bluff Missouri and grew up in Doniphan. She graduated from Poplar Bluff Technical Career Center in 1997 with her LPN degree. While furthering her education she worked for 10 years at Poplar Bluff Regional Medical Center in Pediatrics and Neonatal Care, while employed there, she graduated in 2001 from Three Rivers College with an Associate Degree in Nursing and in 2005 from Southeast Missouri State with a Bachelor’s degree in Nursing. In 2005 she became the Director of Children’s Services at Poplar Bluff Regional Medical Center and also began working at St Louis Children’s Hospital Neonatal Intensive Care Unit. In 2007 she graduated from St Louis University with a Master Degree in Pediatric Nursing with a Neonatal Specialty. She began work back in her hometown of Doniphan as a Certified Pediatric Nurse Practitioner at the Ripley County Family Clinic and has been employed in the same building ever since. She is a Member of the National Association of Pediatric Nurse Practitioners, the Doniphan R1 School Board, Doniphan Sports Booster club, and the Spiritual Life and Discipleship Board at the Doniphan First Church of God. She resides in Doniphan with her husband Roy and three daughters, Jakelyn, Jenna, and Jaysa. She loves kayaking on Current River, vacationing to new places, exploring nature, watching her daughters play sports and attending church.

Ellington Family Clinic

61 Highway Y, Ellington, MO 63638
Ph: (573) 663- 2525 / Toll Free: (877) 559-9934 / Fax: (573) 663-7821
Hours: M-F / 8:00am – 4:30pm

Ian Pelletier, D.O.

Ian Pelletier D.O., an Internal Medicine Physician is joining Missouri Highlands Health Care’s Iron County Medical Clinic and Ellington Family Clinic. Dr. Pelletier was born and raised in rural costal Maine where he was active in sports, chess and Boy Scouts achieving Eagle Scout status. He graduated from the University of New England, Summa Cum Lauda, with degrees in Medical Biology and Biochemistry then furthered his education with the Doctor of Osteopathic Medicine program. While in medical school, his future wife, Jessica Pelletier D.O., sat down next to him on the first day. Dr. Pelletier completed his residency at Virginia Tech Carilion in Roanoke, Virginia. He loves the outdoors including hiking, caving and rock climbing. He looks forward to practicing at Missouri Highlands Health Care with a focus on taking care of the adult patient population.

Mary Jarrells, FNP-BC

Mary sees patients at our Ellington Family Clinic Monday - Thursday and Viburnum Medical Clinic on Friday. Mary Jarrells is a Board Certified Family Nurse Practitioner. She received her Masters of Science in Nursing at the University of Missouri St. Louis in 2011. She has worked in Family Care, Urgent Care and the hospital setting as a Nurse Practitioner since graduating. She became a Licensed Practical Nurse in 1983 and worked as an ER nurse for many years. She obtained her Associates and Bachelors of Nursing at Mineral Area College and Central Methodist before becoming a Nurse Practitioner. Mary has one daughter and two grandsons. Her oldest grandson is attending SEMO for his degree in History and wants to teach history to young children. Her youngest grandson is a sophomore in high school and enjoys participating in the sport of Wrestling. He too is a history buff. Mary enjoys spending time with her family and attending her church regularly.

Loretta "Lori" Baker- Montgomery, MSW, LCSW & Behavioral Health Director

Lori Baker-Montgomery has been employed with Missouri Highlands Health Care since 2019. She has served as a Licensed Clinical Social Worker offering mental health therapy and behavioral health consulting at the Shannon County Family Clinic and Ellington Family Clinic. Lori is now serving in the additional role of Behavioral Health Director. She continues to provide in-person and telehealth clinical services for clients two days per week.

Lori has over 22 years of experience working in a variety of settings; including community mental health, schools and hospice. She specializes in treating children and adults with trauma, depression, anxiety, grief and behavior issues. She provides a safe, non-judgmental therapeutic experience for clients to process current and past life stressors and learn to manage difficult emotions.

Lori is certified in the evidenced-based trauma treatment of Eye Movement Desensitization and Reprocessing (EMDR) and trained in numerous other treatment types including: Cognitive Behavioral Therapy (CBT), Ego State Therapy, Play Therapy, Acceptance and Commitment Therapy (ACT), and Person Centered Therapy. She works with her clients in achieving their goals in order to improve their mental health, physical health, overall well being and happiness. Lori earned her Masters of Social Work with a Family Health Concentration from Missouri State University in Springfield, MO in 2000. She is originally from Summersville and currently resides in Eminence. Lori’s interests include spending time with her family, reading, traveling and exploring the Ozarks. She feels fortunate to be able to return to her native area and contribute to the mental health of others.

Iron County Dental Clinic

315 W Mulberry, Suite B, Pilot Knob, MO 63663
Phone: (573) 546-1001 / Toll Free: (866) 748-2725 / Fax: (573) 546-1002
Hours: M-F / 7:30am – 4:00pm

Bradley R. Daniel, D.M.D & Dental Director

Dr. Bradley Daniel is a native of Arizona. He is a graduate of A.T. Still University – Arizona School of Dentistry and Oral Health.

Jill Bleything, DMD

Jill Bleything, DMD is from Viburnum, MO. She graduated from William Woods University with a Bachelor of Science degree in Animal Science. She worked as a dental assistant in the St. Louis and St. Francois county areas for 8 years before returning to school to pursue becoming a dentist. She earned a second Bachelor of Science degree from the University of Missouri St. Louis in Independent Studies with a double minor in Biology and Chemistry graduating with honors. She earned her doctorate degree and certificate in public health from A.T. Still University, Missouri School of Dentistry and Oral Health. She enjoys spending time outdoors, traveling, camping, floating, hiking and horseback riding.

Carly Williams, RDH

Carly Williams is originally from Annapolis, MO. She graduated from Southern Illinois University with a Bachelor of Science degree in Dental Hygiene, along with her Community Health Coordinator certification. Carly resides in Ironton, MO with her husband, Sam. In her free time, she enjoys spending moments with family and taking adventures! She likes to create a fun and welcoming environment for her patients in the dental office!

Iron County Medical Clinic

315 W Mulberry, Suite A, Pilot Knob, MO 63663
Ph: (573) 546-0602 / Toll Free: (866) 748-2725 / Fax: (573) 546-0624
Hours: M-F / 8:00am – 4:30pm

Michelle Heath, FNP-BC

Michelle Health, FNP has been a Registered Nurse since 2005. She has worked critical care and outpatient oncology. She has been ANCC certified Family Nurse Practitioner since February of 2017. Michelle is relocating from the Poplar Bluff area to be closer to family in St. Francis County, where she grew up. Michelle enjoys spending time with family, gardening and reading.

Ian Pelletier, D.O.

Ian Pelletier D.O., an Internal Medicine Physician is joining Missouri Highlands Health Care’s Iron County Medical Clinic and Ellington Family Clinic. Dr. Pelletier was born and raised in rural costal Maine where he was active in sports, chess and Boy Scouts achieving Eagle Scout status. He graduated from the University of New England, Summa Cum Lauda, with degrees in Medical Biology and Biochemistry then furthered his education with the Doctor of Osteopathic Medicine program. While in medical school, his future wife, Jessica Pelletier D.O., sat down next to him on the first day. Dr. Pelletier completed his residency at Virginia Tech Carilion in Roanoke, Virginia. He loves the outdoors including hiking, caving and rock climbing. He looks forward to practicing at Missouri Highlands Health Care with a focus on taking care of the adult patient population.

Heidi Allen, LCSW

Heidi sees patients at the Iron County Medical Clinic Tuesday - Thursday. Heidi is a Licensed Clinical Social Worker (LCSW) with an office located in beautiful rural Missouri in Pilot Knob. She works with children, young adults, individuals and families using an eclectic approach tailored to the unique needs of each new client. Heidi has over 8 years of experience in a variety of settings and with diverse clients, including both long-term and brief interventions. Areas of expertise include: Children and adolescents with behavioral and sexual issues; Children and adults with anxiety and depression; Relationship challenges: couples and families; Life stresses and next steps; and working with sexual and criminal offenders.

Heidi graduated from the University of Missouri, St. Louis with her Master’s Degree in Social Work. Heidi is continuously seeking to enhance her skills and broaden her education. For instance, Heidi has engaged in advanced training in DBT (Dialectical Behavioral Therapy), CBT (Cognitive Behavioral Therapy) and ACT (Acceptance and Commitment Therapy). Heidi has provided services for individuals and groups both inpatient and outpatient, as well as done crisis intervention and long-term therapy with in a maximum-security facility.

Heidi believes change happens when people are given the guidance they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. Heidi provides an environment of compassion and support to help individuals and families overcome obstacles to move forward and thrive.

MO Highlands Health Care of Wayne County

1 Hal’s Plaza, Ste A
Piedmont, MO 63957
Ph: (573) 223-4800 / Toll Free: (866) 904-1085 / Fax: (573) 223-7161
Hours: M-F / 8:00am – 4:30pm

Michael Toney, DO

Joseph Toney, DO

I was born and raised in Piedmont, MO. I practice Family and Addiction Medicine and am passionate about providing compassionate care for those struggling with addiction. In my spare time I enjoy cycling and hanging out with my wife and kids.

Michelle Holmes, FNP

Angela Wheelehon, LCSW

Angela Wheelehon has been in southeast Missouri for the past 20 years, originally from central Illinois. She received her Bachelor of Science from Illinois State University in Psychology with Minors in Dance and Sociology. She went on to receive her Masters of Social Work from the University of Missouri-Columbia, becoming a Licensed Clinical Social Worker in 2016. Angie has over 14 years of experience working in a variety of settings, including Bootheel Counseling Services in Sikeston, Missouri Children’s Division, Haven House of Poplar Bluff, and Poplar Bluff Regional Medical Center. Angie has been trained in EMDR, which has been shown to be effective in reducing symptoms from PTSD, and Dialectical Behavioral Therapy (DBT) to improve emotional awareness and reduce negative emotions. She provides a safe, non-judgmental therapeutic experience in which clients can feel respected and heard.

Her personal interests are dancing, running, traveling, and spending time exploring beautiful Southeast Missouri’s parks, rivers, and lakes. Angie is currently accepting new patients at MHHC of Wayne County located in Piedmont.

Kelsey D'Amico, FNP

MO Highlands Medical Clinic- Poplar Bluff

Northwest Medical Center
2210 Barron Rd. Suite 120 Poplar Bluff, MO 63901
Ph: (573) 785-6536 / Toll Free: (866) 902-0582 / Fax: (573) 785-0345
Hours: M-F / 8:30am – 5:00pm

Amber Richardson, PhD

Dr. Richardson sees patients at MO Highlands Medical Clinic Mondays through Thursdays. Dr. Amber Richardson, PhD is a clinical psychologist working in the Poplar Bluff office. Dr. Richardson possesses a PhD in clinical psychology in addition to a Masters degree in Counseling and Personnel Services. She has been working in private practice and rural health for several years and is joining Missouri Highland’s as part of the organization’s growing behavioral health program. Dr. Richardson has worked in several clinical settings including inpatient mental health, partial hospitalization programs, natural outpatient settings, and outpatient clinics. As a native Poplar Bluffian, Dr. Richardson is excited continue providing services to rural populations in Missouri Highland’s uniquely integrated medical setting.

Dr. Richardson is devoted to providing quality, evidence based care to individuals with a variety of needs, including psychotherapy, counseling, and psychological assessment. Dr. Richardson is currently accepting patients of all ages Monday through Thursday in the Poplar Bluff clinic.

Richard Hester, MD

Richard Hester, MD is a graduate of Ross University in the Caribbean and completed his residency in Lincoln, Nebraska in 2009. Dr. Hester has been practicing family medicine for 12 years. While he enjoys treating patients of all ages, Dr. Hester especially enjoys working with children of all ages. Dr. Hester relocated from the Kansas City area where he previously worked in the OB department. Dr. Hester’s passion for serving those in rural communities fits well with Missouri Highlands’ vision and mission.

Marsha Shivley, FNP-BC

Marsha Shivley is an Advanced Practice Nurse that obtained her degree as Clinical Nurse Specialist from Arkansas State University in 1994. She received her Family Nurse Practitioner Degree from the University of Missouri- St Louis, becoming board certified in 1995. In most recent years, Marsha specialized as a Mental Health Nurse Practitioner through Missouri University in 2008. Marsha Shivley is a retired ARMY Lieutenant Colonel and a Veteran. Marsha is dedicated to rural healthcare and desires to make a difference in the lives of her patients. She is a member of the First Methodist Church of Poplar Bluff and in her spare time she enjoys being with her family.

Joseph Toney, DO

Only on Tuesdays (starting April 7, 2020) or via Zoom TV on Fridays Noon-4:30pm
I was born and raised in Piedmont, MO. I practice Family and Addiction Medicine and am passionate about providing compassionate care for those struggling with addiction. In my spare time I enjoy cycling and hanging out with my wife and kids.

Tonya Lucas, CPNP-PC

Pediatric Nurse Practitioner, Tonya Lucas, was born and raised in Poplar Bluff, MO and returned home along with her husband and son after she completed her Associates Degree in Nursing at St. Louis Community College-Florissant Valley. She worked at Poplar Bluff Regional Medical Center initially in pediatrics and for 9 years in the newborn nursery. While working in the newborn nursery, she continued to further her education, desiring to play a supportive role in each child’s journey. She is now a Certified Pediatric Nurse Practitioner who received her MSN from Maryville University-St. Louis. She became certified through the Pediatric Nursing Certification Board in Primary Care in 2021 and is a member of the National Association of Pediatric Nurse Practitioners. She enjoys reading mysteries, beach vacations, and spending time with her family and friends. She joined Missouri Highlands because she believes in their mission to meet the primary and preventive health care needs of the community, specifically catering to the pediatric population.

Jamie Murray, FNP

Kimberly Slayton, FNP-C

Ty Palmer, BS- Peer Specialist

Ty Palmer has a Bachelors Degree in Science/Criminal Justice with 9 years of experience working with Dept. of Corrections, Dept of Mental Health, and Substance Use treatment agencies. Ty has enjoyed working in the past as a Behavioral Health Technician, Group Processing Facilitator and Substance Use Counselor. Ty has continued climbing the Missouri Credentialing Board and working to obtain the Peer Support Specialist Credential. Ty continues to thrive in an environment founded on solid corporate ethics, implementation of proven techniques, and a dedication to serving as a client advocate. When Ty is not at work, he enjoys gardening, movies, spending time with his family, and going to the gym.

Anna Patterson, CRADC

Anna Patterson is a Certified Substance Use Counselor 20 years’ experience working with Dept of Corrections, Drug Court Programs, Medication Assistant Programs, and Dept of Mental Health. Anna is no stranger to Substance Use Counseling, having spent years as a Counselor, Manager and Director. Anna specializes in Medication Assistant Programs and currently holds a (MAT)certification with the Missouri Credentialing Board. Anna holds 5 Missouri State Certifications and 1 International Certification in Substance Use and Trauma Counseling. Anna enjoys most spending time with her granddaughter. Her favorite things to do are swimming, 5k races, baking and riding bicycles. Anna is an active volunteer at local Substance Use support groups as a group facilitator.

2879 James Blvd. Poplar Bluff, MO 63901
Phone: (573) 609-8800 / Toll Free: (833) 626-0778/ Fax: (573) 776-6108
Hours: M-F / 7:30am – 4:00pm

Farrah McSpadden, MD, FACOG

Farrah McSpadden, MD is a Board Certified Obstetrician and Gynecologist. She graduated from the University of North Dakota School of Medicine and Health Sciences in 2005 and completed her residency in Obstetrics and Gynecology at Grand Rapids Medical Education Consortium in Grand Rapids, Michigan in 2009. She is a veteran with 11 years of service in the Army Reserves as a Major. Dr. McSpadden has practiced in the Poplar Bluff, Missouri and surrounding areas for thirteen years. She has served as the Chief of Staff for three years and Chairman of the Department of Obstetrics, Gynecology and Pediatrics for eight years at Poplar Bluff Regional Medical Center. She joined Missouri Highlands Healthcare in July of 2019 where she has continued to practice. She resides in Van Buren, Missouri with her husband and children. Dr. McSpadden enjoys traveling, hiking, kayaking and spending time on Current River with her family and friends.

Vanessa M Givens, MD

Jody Spain, APRN, FNP-BC

Jody Spain is an alumna of the local Three Rivers College nursing program and completed her Master’s Degree at the University of Missouri. She has been practicing as a Family Nurse Practitioner, alongside Dr McSpadden, since 2010. She is board certified through the ANCC and has a special interest in obstetrical care, gestational diabetes management, adolescent gynecology, and vulvovaginal disorders. She and her two children, Nick and Marley, reside in Poplar Bluff.

Sonya DiCiro, APRN, FNP-BC, CDE

Sonya DiCiro completed her Master’s degree in Nursing at the University of Missouri-St. Louis in 1997. She has been a nurse for 39 years and graduated from Three Rivers College in 1983. Since that time she has practiced in primary care, labor and delivery, diabetes management and internal medicine. She is board certified as a Family Nurse Practitioner and has an AADE certification as a CDE, Certified Diabetes Educator. Sonya is also a Clinical Faculty professor with Walden University in the MSN/NP program. Gestational diabetes and menopause management are particular areas of interest for this nurse practitioner. Sonya is married to Kurt DiCiro and is a mother and grandmother. She resides in her hometown of Poplar Bluff, MO. Her hobbies are gardening, decorating, traveling and photography.

Cynthia L. Brown, LCSW,MD,MPH

Cynthia Brown is excited to start her career as an LMSW at Missouri Highlands Health Care. She has an MSW from University of Missouri-Columbia and an MPH from Columbia University School of Public Health. Social Work is Cynthia’s second career. She has an MD from Mount Sinai School of Medicine. She is an Obstetrician-Gynecologist and Preventive Medicine physician. She is also Board Certified in Preventive Medicine and Public Health. She is providing Behavioral Health Consultation and therapy at our Women's Clinic in Poplar Bluff, MO. Cynthia is active in her community. She has served on the Poplar Bluff R-1 School District Board of Education since 2004. She is also an Autism Advocate.

Natalie Hoshaw, MD, FACOG

Naylor Medical Clinic

220 East Broad Street, Naylor, MO 63953
Phone: (573) 399-2311 / Toll Free: (877) 302-3719 / Fax: (573) 399-2646
Hours: Tues. 8:00am – 8:00pm & Wed. 8:00am – 5:00pm

Bradford Davis, FNP

Brad Davis is a Board-Certified Family Nurse Practitioner. He has been in healthcare for over 25 years, starting in Emergency Medical Services right out of High School. Brad has over 15 years of Emergency Nursing experience and Family Medicine for the past 6 years. He is certified in Hormone Optimization and Thyroid management through Biote out of Irving, Texas. Brad has a degree in Education as well as Social Sciences. He studied nursing at TRCC and went on to obtain his Bachelor's degree at SEMO. Brad obtained his Master's in Family Nurse Practitioner from Frontier Nursing University in Hyden, Kentucky. “My beautiful wife, Jamie Davis, is also a very well qualified nurse with Missouri Highlands Healthcare with many years of experience. We have a total of 5 children that keep us busy. We love to spend time with family and are active with all the children's activities. We live in the City of Dexter and own/operate a primary care clinic three days a week serving the healthcare needs of our community. We attend Dexter First Assembly of God Church. I was born and raised in the city of Naylor, Mo. I lived there for 39 years and have many roots in the area. My parents live in the area and have operated the local ambulance service since 1975. I look forward to returning to my hometown community two days a week to serve the great people of the area and to help with their healthcare needs.”

Poplar Bluff Dental Clinic

1407 N Westwood Blvd., Poplar Bluff, MO 63901
Ph: (573) 778-3042 / Toll Free: (866) 386-0224 / Fax: (573) 778-9432
Hours: M-F / 8:00am – 4:30pm

Kristen Alexander, DMD

Kristen Alexander-Frey, DMD, is from Poplar Bluff, MO. She graduated in 2011 from Southeast Missouri State University with a Bachelor of Science degree in Biology with an emphasis in Biomedical Sciences. Dr. Alexander was the first graduate of the inaugural class of 2017 at A.T. Still University, Missouri School of Dentistry and Oral health earning her doctorate of dental medicine and certificate in public health. Dr. Alexander has been with Missouri Highlands at the Poplar Bluff Dental clinic since 2017, serving her hometown. She especially enjoys her work with children and helping them learn the importance of good oral health early in life to promote a lifetime of healthy smiles. Dr. Alexander aims to provide a safe and comfortable dental experience for all her patients big and small! During her free time, Dr. Alexander’s hobbies include traveling with her husband and their daughter, kayaking, and baking/decorating cakes.

Latashua Joseph, DDS

Dr. LaTashua Joseph was born and raised in Lawton, OK. She has earned a Bachelor of Arts degree in Medical Humanities from Baylor University and doctorate degree from Meharry Medical College. Dr. Joseph has been married to her husband Duke for ten years and is the mother to a four year old son and 6 month old daughter. Her interests include spending time with family, canoeing, traveling, bowling and watching movies. Dr. Joseph is excited about providing comprehensive and quality care to the Poplar Bluff community.

Holly Cavness McKinley, RDH

Natalie J. Bell, RDH

Shannon County Medical Clinic

17959 Main Street, Eminence, Mo 65466
Ph: (573) 226-5505 / Toll Free: (877) 654-1351 / Fax: (573) 226-5584
Hours: M-F / 8:00am – 4:30pm

Susan M. Norris, FNP-C

Susan Norris, Certified Nurse Practitioner at the Shannon County Family Clinic. Susan has had clinical nursing experience since 1997. She is a 2010 graduate of St. Louis University with a Master’s of Science in Nursing in Family Practice. In addition to Family Practice, Susan has pursued additional training and is certified in Medication Assistant Treatment for opioid addiction and has specialized in treating Hepatitis C. She is also certified in Battlefield Acupuncture as alternative treatment for pain. Susan has been a resident of Shannon County for over 30 years. She considers it a blessing to have the opportunity to serve the community and work close to home. Susan is dedicated to rural life, understands the challenges of rural healthcare, and desires to make a difference in the quality of life of her patients. In her spare time, Susan enjoys riding horses, spending time outdoors, and spending time with her husband, Daryl, their children, and grandsons. In addition, Sue is an ordained minister looking forward to a tent ministry in the future; certainly enjoy preaching and teaching the Word of God.

Jaime Hampton, CPNP-PC, FNP-C, PMHS

Jaime Hampton CPNP-PC, FNP-C, PMHS is a 2016 graduate of the University of South Alabama where she received her Master’s Degree in Nursing in Pediatric Primary Care. Jaime additionally completed specialty courses for Pediatric Mental and Behavioral Health from Duke University in 2018. Most recently, she completed a Post-Master’s FNP certificate from Maryville University in 2020. Jaime is board-certified as a Pediatric Primary Care Nurse Practitioner, Family Nurse Practitioner, and Pediatric Mental Health Specialist. Raised in Shannon County, Jaime considers it a blessing to serve the local community and is dedicated to improving access to quality care. She currently resides in Summersville with her family, which includes Ben, Tanner, Bella, and Cameron.

Dianna Keeling, FNP-BC

Loretta "Lori" Baker- Montgomery, MSW, LCSW & Behavioral Health Director

Lori Baker-Montgomery has been employed with Missouri Highlands Health Care since 2019. She has served as a Licensed Clinical Social Worker offering mental health therapy and behavioral health consulting at the Shannon County Family Clinic and Ellington Family Clinic. Lori is now serving in the additional role of Behavioral Health Director. She continues to provide in-person and telehealth clinical services for clients two days per week.

Lori has over 22 years of experience working in a variety of settings; including community mental health, schools and hospice. She specializes in treating children and adults with trauma, depression, anxiety, grief and behavior issues. She provides a safe, non-judgmental therapeutic experience for clients to process current and past life stressors and learn to manage difficult emotions.

Lori is certified in the evidenced-based trauma treatment of Eye Movement Desensitization and Reprocessing (EMDR) and trained in numerous other treatment types including: Cognitive Behavioral Therapy (CBT), Ego State Therapy, Play Therapy, Acceptance and Commitment Therapy (ACT), and Person Centered Therapy. She works with her clients in achieving their goals in order to improve their mental health, physical health, overall well being and happiness. Lori earned her Masters of Social Work with a Family Health Concentration from Missouri State University in Springfield, MO in 2000. She is originally from Summersville and currently resides in Eminence. Lori’s interests include spending time with her family, reading, traveling and exploring the Ozarks. She feels fortunate to be able to return to her native area and contribute to the mental health of others.

Viburnum Medical Clinic

18 Viburnum Center Road, Viburnum, MO 65566
Ph: (573) 244-5406 / Toll Free: (866) 517-1807 / Fax: (573) 244-5590
Hours: M-T / 8:00am – 4:30pm

Susan Byerley, FNP

Mary Jarrells, FNP-BC

Mary sees patients at our Ellington Family Clinic Monday - Thursday and Viburnum Medical Clinic on Friday.

Mary Jarrells is a Board Certified Family Nurse Practitioner. She received her Masters of Science in Nursing at the University of Missouri St. Louis in 2011. She has worked in Family Care, Urgent Care and the hospital setting as a Nurse Practitioner since graduating. She became a Licensed Practical Nurse in 1983 and worked as an ER nurse for many years. She obtained her Associates and Bachelors of Nursing at Mineral Area College and Central Methodist before becoming a Nurse Practitioner.

Mary has one daughter and two grandsons. Her oldest grandson is attending SEMO for his degree in History and wants to teach history to young children. Her youngest grandson is a sophomore in high school and enjoys participating in the sport of Wrestling. He too is a history buff. Mary enjoys spending time with her family and attending her church regularly.

Heidi Allen, LCSW

Heidi sees patients at the Viburnum Medical Clinic on Mondays. Heidi is a Licensed Clinical Social Worker (LCSW) with an office located in beautiful rural Missouri in Pilot Knob. She works with children, young adults, individuals and families using an eclectic approach tailored to the unique needs of each new client. Heidi has over 8 years of experience in a variety of settings and with diverse clients, including both long-term and brief interventions. Areas of expertise include: Children and adolescents with behavioral and sexual issues; Children and adults with anxiety and depression; Relationship challenges: couples and families; Life stresses and next steps; and working with sexual and criminal offenders.

Heidi graduated from the University of Missouri, St. Louis with her Master’s Degree in Social Work. Heidi is continuously seeking to enhance her skills and broaden her education. For instance, Heidi has engaged in advanced training in DBT (Dialectical Behavioral Therapy), CBT (Cognitive Behavioral Therapy) and ACT (Acceptance and Commitment Therapy). Heidi has provided services for individuals and groups both inpatient and outpatient, as well as done crisis intervention and long-term therapy with in a maximum-security facility.

Heidi believes change happens when people are given the guidance they need to draw on their own strengths and realize their potential to live fulfilling, happy lives. Heidi provides an environment of compassion and support to help individuals and families overcome obstacles to move forward and thrive.

Wayne County Dental Clinic

1 Hal’s Plaza, Ste B
Piedmont, MO 63957
Ph: (573) 223-8902 / Toll Free: (877) 686-5270 / Fax: (573) 223-2141
Hours: M-W 8:00am – 4:00pm

Bradley R. Daniel, D.M.D & Dental Director

Dr. Bradley Daniel is a native of Arizona. He is a graduate of A.T. Still University – Arizona School of Dentistry and Oral Health.

Kathern Twidwell, RDH

School Based Clinics

Vicki Branstetter, P-LPC

Holly Burns, FNP-BC