Individual provider · Type 1 NPI
Jeremy Glynn Light, MD
MOHS-Micrographic Surgery Physician · Branson, MO
Practice location
109 Pinehurst Dr
Branson, MO 65616-2796
Fax (417) 889-0476
Mailing address
801 York St
Manitowoc, WI 54220-4630
Other practice locations
- 1240 E Independence St Ste 100, Springfield, MO 65804-4201 · (417) 900-3407
- 3850 S National Ave Ste 705, Springfield, MO 65807-5239 · (417) 900-3407
- 2200 E Cleveland St, Monett, MO 65708-6149 · (417) 900-3407
- 1240 E Independence St Ste 200, Springfield, MO 65804-4201 · (417) 900-3407
- 331 Hospital Dr Ste C, Lebanon, MO 65536-9251 · (417) 334-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | 2023049376 (MO) |
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | 2023049376 (MO) |
MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…
2 other providers at this address
About NPI 1831727718
Jeremy Glynn Light, MD's National Provider Identifier is 1831727718, issued on Mar 27, 2020. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Branson, MO. The record was last updated on Jul 9, 2026.