# JC NERVE CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467056861
- **Authorized official:** MARC FERRIN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (573) 893-9500

## Contact information

- **Practice address:** 2707 W EDGEWOOD DR STE 104, JEFFERSON CITY, MO 65109-5886
- **Practice address phone:** (573) 893-9800
- **Mailing address:** 2707 W EDGEWOOD DR STE 104, JEFFERSON CITY, MO 65109-5886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 12/07/2020