Individual
DR. JERRY SAMUEL GIVENS
Active
Individual
DR. JERRY SAMUEL GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MDR9B09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164462412
—
MO
01
—
14360
BLUE SHIELD
MO
05
—
152379001
—
AR
05
—
202355806
—
MO
01
—
431662735
TRICARE
MO
Enumeration date
06/07/2006
Last updated
10/08/2025
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