Individual
MRS. JENNIFER ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4818 S TUJUNGA DR, SPRINGFIELD, MO 65810-1125
(785) 250-7910
Mailing address
4818 S TUJUNGA DR, SPRINGFIELD, MO 65810-1125
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2016023555
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220033618
—
MO
Enumeration date
05/22/2007
Last updated
10/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us