Individual provider · Type 1 NPI
Jerrilyn Diane Adkisson
Point of Service · Sikeston, MO
NPI number
1922578996
Active
Practice location
208 N Ingram Rd
Sikeston, MO 63801-5233
Other practice locations
- 802 Courtney Dr, Sikeston, MO 63801-3215 · (573) 471-3770
- 121 Front Street, Risco, MO 63874 · (573) 394-5020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | None listed |
Point of Service: 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.
About NPI 1922578996
Jerrilyn Diane Adkisson's National Provider Identifier is 1922578996, issued on Dec 3, 2018. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Sikeston, MO. The record was last updated on Dec 3, 2018.