Individual
DR. ERIKA YISSEL JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 S RANGE LINE RD, JOPLIN, MO 64804-3234
(417) 556-2040
(417) 556-2041
Mailing address
1717 S RANGE LINE RD, JOPLIN, MO 64804-3234
(417) 556-2041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E16728
AR
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
2023029950
MO
Other
Enumeration date
04/07/2020
Last updated
07/26/2024
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