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Individual

JESSICA FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
7848 BLACKBERRY RD, SARCOXIE, MO 64862-8006
(417) 592-4647

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2021040982
MO
363LF0000X
Family Nurse Practitioner
Primary
2021040982
MO
363LF0000X
Family Nurse Practitioner
53-82799-091
KS

Other

Enumeration date
10/09/2021
Last updated
01/10/2025
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