Dermatology
JORDAN LANE DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1639758006 · enumerated 2021-04-05 · record updated 2025-07-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1100 N KENTUCKY AVE, WEST PLAINS, MO, 65775-2029 (417) 256-9111 Google Maps Apple Maps OpenStreetMap
- Mailing address 1100 N KENTUCKY AVE, WEST PLAINS, MO, 65775-2029 (417) 256-9111 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 2022025223 MO
In this directory
Locations and evidence
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Practice location
WEST PLAINS, MO, 657752029
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.