Individual
JERRIANN COXSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
504 NW 10TH AVE, AVA, MO 65608
(417) 683-4831
(417) 683-1602
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-4831
(417) 683-1602
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2004027939
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00223109
RAILROAD MEDICARE
—
Enumeration date
02/22/2006
Last updated
07/08/2007
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