| Jordan Elizabeth Parker, MD | |
|
2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109-5886 | |
| (573) 761-1830 | |
| (573) 761-1829 |
| Full Name | Jordan Elizabeth Parker |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 2707 W Edgewood Dr Ste 102, Jefferson City, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174182026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 2023013394 (Missouri) | Primary |
| 207N00000X | Dermatology | 125074793 (Illinois) | Secondary |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Elizabeth Parker, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Jordan Elizabeth Parker, MD 2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109-5886 Ph: (573) 761-1830 |
Dr. Stephanie Hose, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7719 Fax: 573-635-2156 | |
Victoria Gunn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1620 Southridge Dr Ste B, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 | |
Kimberly Anne Eisenstein, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2707 W Edgewood Dr Ste 102, Jefferson City, MO 65109 Phone: 573-761-1830 Fax: 573-761-1829 |