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Jerrilyn D Adkisson
Point of Service in Advance, Missouri
NPI 1063620565

Jerrilyn D Adkisson is a Point of Service based in Advance, MO. Jerrilyn D Adkisson practices in Advance, MO. The NPI Number for Jerrilyn D Adkisson is 1063620565 and holds a License No. (Missouri).

The current practice location address for Jerrilyn D Adkisson is 24777 State Hwy 25, Advance, MO and can be reached out via phone at 573-722-5200 and via fax at 573-722-5200.

Location: 24777 State Hwy 25, Advance, MO, 63730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063620565
Provider Name
Jerrilyn D Adkisson
Credential
Provider Entity Type
Organization
Address
24777 State Hwy 25, Advance, MO, 63730
Phone Number
573-722-5200
Fax Number
573-722-5200
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
24777 State Hwy 25
City
Advance
State
Missouri
Zip
63730
Phone Number
573-722-5200
Fax Number
573-722-5200
person
Provider Business Mailing Address Details
Address
24777 State Hwy 25
City
Advance
State
Missouri
Zip
63730
Phone Number
573-722-5200
Fax Number
573-722-5200
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
()
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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