Jerid Land, | |
1333 S Sam Houston Blvd, Houston, MO 65483-2046 | |
(573) 529-9355 | |
Not Available |
Full Name | Jerid Land |
---|---|
Gender | Male |
Speciality | Registered Nurse - Emergency |
Location | 1333 S Sam Houston Blvd, Houston, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891456059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WE0003X | Registered Nurse - Emergency | 2020012036 (Missouri) | Primary |
163W00000X | Registered Nurse | 2020012036 (Missouri) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Jerid Land, 452 County Road 5110, Salem, MO 65560-8289 Ph: (573) 529-9355 | Jerid Land, 1333 S Sam Houston Blvd, Houston, MO 65483-2046 Ph: (573) 529-9355 |
Vicky Birdsong, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1597 North Hwy 63, Houston, MO 65483 Phone: 417-967-2887 | |
Mrs. Tommi Jean Alcorn, FNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1337 S Sam Houston Blvd, Houston, MO 65483 Phone: 417-967-5435 Fax: 417-967-5503 |