Individual
JOLIE RAE CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2800 E ROCK HAVEN RD, HARRISONVILLE, MO 64701-4411
(816) 380-3474
(816) 540-6065
Mailing address
9408 S SAM PETERSON RD, OAK GROVE, MO 64075-8344
(913) 488-3408
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-45805
KS
207Q00000X
Family Medicine Physician
Primary
2009028449
MO
Other
Enumeration date
07/29/2009
Last updated
11/10/2025
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