Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 2007007779 | MO |
NPI | 1013100346 |
---|---|
Provider Name | Jessica H Lemmons |
First Address | Kansas City, MO 64180-1143 |
Second Address | Cape Girardeau, MO 63703-5049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2007 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013100346 | (05) | IL |
1013100346 | (05) | MO |
1013100346 | TRIWEST (01) | MO |
697174 | ANTHEM BCBS (01) | MO |
886080 | HEALTHLINK (01) | MO |