Provider Demographics
NPI:1699970459
Name:ALLISON, JANA LAINE (MD)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:LAINE
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-7009
Mailing Address - Fax:
Practice Address - Street 1:1532 W 32ND ST STE 401
Practice Address - Street 2:
Practice Address - City:JOPLIN
Practice Address - State:MO
Practice Address - Zip Code:64804-1646
Practice Address - Country:US
Practice Address - Phone:417-347-7009
Practice Address - Fax:417-347-3288
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2021-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2011012158207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology