Individual
DR. JENIFER DAWN INSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3808 S GREYSTONE CT, SPRINGFIELD, MO 65804-6561
(417) 889-3332
(417) 881-1410
Mailing address
3808 S GREYSTONE CT, SPRINGFIELD, MO 65804-6561
(417) 889-3332
(417) 881-1410
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
108083
NC
207N00000X
Dermatology Physician
Primary
2011010498
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801866231
—
MO
05
—
188406001
—
AR
01
—
431560263
TRICARE
MO
01
—
P00865362
RAILROAD MEDICARE
NC
01
—
P01027356
RR MCR
MO
Enumeration date
01/26/2006
Last updated
08/02/2016
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