Jerrilyn D Adkisson

NPI #1063620565 in Advance, Missouri

Provider Information

NPI Number: 1063620565
Entity Type: Organization
Organization Name: Jerrilyn D Adkisson
Primary Specialty: Point of Service
Enumeration Date: May 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 24777 STATE HWY 25
City: Advance
State: Missouri
ZIP Code: 63730
Phone: (573) 722-5200

Authorized Official

Name: MRS. JERRILYN DIANE ADKISSON
Title: OWNER
Phone: (573) 722-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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