NPI 1063620565

Jerrilyn D Adkisson

Organisation Point of Service Advance, MO

Practice location

Address: 24777 State Hwy 25, Advance, MO 63730
Phone: (573) 722-5200
Fax: (573) 722-5200

Authorised official

Name: Jerrilyn Diane Adkisson
Title: Owner
Phone: (573) 722-5200

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Missouri →

Registry record

NPI: 1063620565
Entity type: Organization
NPI issued: 18 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.