Individual
TERESA BARR JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
108 S HICKORY ST, MOUNT VERNON, MO 65712-1407
(417) 466-4110
(417) 466-4255
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC156
KY
363AM0700X
Medical Physician Assistant
2006006813
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207076
BLUE CROSS OF MO
—
Enumeration date
09/26/2006
Last updated
03/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us