Individual
DR. JAMES M JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 SOUTHLAND DR, SIKESTON, MO 63801-4403
(573) 471-4167
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22494
TX
1223G0001X
General Practice Dentistry
Primary
2026000980
MO
1223G0001X
General Practice Dentistry
Primary
22494
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175923509
—
TX
Enumeration date
04/02/2007
Last updated
04/22/2026
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