Individual
JESSICA HARTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3521 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2337
(816) 554-8346
(816) 554-9470
Mailing address
3521 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2337
(816) 554-8346
(816) 554-9470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2021036598
MO
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
01/27/2020
Last updated
09/21/2021
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