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NPI Code Detail

MEDICARE: JESSICAANN ZANDRA TUIA DO

MEDICARE: JESSICAANN ZANDRA TUIA DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2018021470MO

General Provider Information

NPI Number : 1457847139
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICAANN ZANDRA TUIA DO
Provider Business Mailing Address
First Line : 2800 CLAY EDWARDS DRIVE
Second Line : CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT
City : NORTH KANSAS CITY
State : MO
Zip : 64116
Country : US
Telephone Number : 816-691-1655
Fax Number : 816-346-7250
Provider Business Practice Location Address
First Line : 6500 HOSPITAL DR
Second Line :
City : HANNIBAL
State : MO
Zip : 63401-6890
Country : US
Telephone Number : 573-629-3400
Fax Number : 573-629-3414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2018
Last Update Date : 01/13/2026

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Directions to “ JESSICAANN ZANDRA TUIA DO” Practice Location

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