Individual provider · NPI-1
Cary Dean Adkisson, F.N.P.
Nurse Practitioner, Family · Columbia, MO
NPI number1659843530
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1659843530
- Entity type
- Individual (NPI-1)
- Name
- Cary Dean Adkisson
- Credential
- F.N.P.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2018
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2018044469 | MO | Yes |
Practice location
105 N Keene St Ste 201Columbia, MO 65201-8131
Phone 573-499-4990 · Fax 573-442-2120
Mailing address
1705 E Broadway Ste 100Columbia, MO 65201-7167
Phone 573-874-8700 · Fax 573-607-3878
Other practice locations
1000 W Nifong Blvd Ste 210
Columbia, MO 65203-5615
Columbia, MO 65203-5615
Phone 573-882-5673 · Fax 573-884-4625
2305 S Highway 65
Marshall, MO 65340-3702
Marshall, MO 65340-3702
Phone 660-886-7431
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