James Jesse in Saint Louis - Physician Assistant

James Jesse - NPI 1861443038

James Jesse is a Physician Assistant in Saint Louis, Missouri. James Jesse practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for James Jesse is 1861443038. The last update date is 2011-01-07.

James Jesse's current location address is 615 S New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3142517070. The mailing address for James Jesse is 615 S New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name James Jesse
Address 615 S New Ballas Rd, Saint Louis, Missouri
Phone Number 3142517070
Fax Number
Sole Proprietor Y
Credentials PA

NPI Number Detail

NPI Number 1861443038
Provider Enumeration Date 2006-05-13
Last Updated Date 2011-01-07

Provider Mailing Address Detail

Address 615 S New Ballas Rd
City Saint Louis
State Missouri (MO)
Post Code 631418221
Phone Number 3142517070
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 3759
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100002318B GA --

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FAQs about James Jesse

What is the unique 10-digit identifier code assigned to James Jesse by the Centers for Medicare & Medicaid Services?

The James Jesse has been issued the NPI (National Provider Identifier) 1861443038 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where James Jesse's facilities are situated?

The facilities of James Jesse are physically located at the following address: 615 S New Ballas Rd, Saint Louis, MO, 631418221.

What is James Jesse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James Jesse is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the James Jesse receive its 1861443038 assignment from the Centers for Medicare & Medicaid Services?

The James Jesse was assigned its 1861443038 by the Centers for Medicare & Medicaid Services on 2006-05-13.

As of what date were the details pertaining to James Jesse last refreshed?

The information related to the James Jesse, including its address, specialty, and other relevant details, was last updated on 2011-01-07.

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