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Mrs. Jerrilyn Diane Adkisson
Point of Service in Sikeston, Missouri
NPI 1922578996

Jerrilyn Diane Adkisson is a Point of Service based in Sikeston, MO. Jerrilyn Diane Adkisson practices in Sikeston, MO. The NPI Number for Jerrilyn Diane Adkisson is 1922578996 and holds a License No. (Missouri).

The current practice location address for Jerrilyn Diane Adkisson is 208 N Ingram Rd, Sikeston, MO and can be reached out via phone at 573-471-3770.

Location: 208 N Ingram Rd, Sikeston, MO, 63801-5233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922578996
Provider Name
Jerrilyn Diane Adkisson
Credential
Provider Entity Type
Individual
Gender
Female
Address
208 N Ingram Rd, Sikeston, MO, 63801-5233
Phone Number
573-471-3770
Fax Number
Provider Enumeration Date
12/03/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063620565 01 MO NPI
LC001488560 01 MO MISSOURI SECRETARY OF STATE
institution
Provider Business Practice Location Address Details
Address
208 N Ingram Rd
City
Sikeston
State
Missouri
Zip
63801-5233
Phone Number
573-471-3770
Fax Number
person
Provider Business Mailing Address Details
Address
208 N Ingram Rd
City
Sikeston
State
Missouri
Zip
63801-5233
Phone Number
573-471-3770
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
(Missouri)
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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