Jerrilyn D Adkisson in Advance - Point Of Service
Jerrilyn D Adkisson - NPI 1063620565
Jerrilyn D Adkisson is a Point Of Service in Advance, Missouri. Jerrilyn D Adkisson practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Jerrilyn D Adkisson is 1063620565. The last update date is 2020-08-22.
Jerrilyn D Adkisson's current location address is 24777 State Hwy 25, Advance, Missouri. You can contact this provider via phone number 5737225200 and fax number 5737225200. The mailing address for Jerrilyn D Adkisson is 24777 State Hwy 25, Advance, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerrilyn D Adkisson |
|---|---|
| Address | 24777 State Hwy 25, Advance, Missouri |
| Phone Number | 5737225200 |
| Fax Number | 5737225200 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Adkisson Diane Jerrilyn |
| Telephone Number | 5737225200 |
NPI Number Detail
| NPI Number | 1063620565 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 24777 State Hwy 25 |
|---|---|
| City | Advance |
| State | Missouri (MO) |
| Post Code | 63730 |
| Phone Number | 5737225200 |
| Fax Number | 5737225200 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
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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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What is the unique identifier code issued to Jerrilyn D Adkisson by the Centers for Medicare & Medicaid Services (CMS)?
The Jerrilyn D Adkisson has been assigned the NPI (National Provider Identifier) 1063620565. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jerrilyn D Adkisson?
The Jerrilyn D Adkisson is situated at 24777 State Hwy 25, in the city of Advance, state of MO, with the zip code 63730.
What is Jerrilyn D Adkisson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerrilyn D Adkisson is Point Of Service, and the corresponding taxonomy classification code for this specialized field is 305S00000X.
On what date did the Jerrilyn D Adkisson receive its 1063620565 assignment from the Centers for Medicare & Medicaid Services?
The Jerrilyn D Adkisson was assigned its 1063620565 by the Centers for Medicare & Medicaid Services on 2007-05-18.
When was the information related to Jerrilyn D Adkisson most recently updated or refreshed?
The details pertaining to the Jerrilyn D Adkisson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.