Individual
JESSICA JORDAN UPAH
Active
Individual
JESSICA JORDAN UPAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
15-02921
KS
363AS0400X
Surgical Physician Assistant
2024028490
MO
Other
Enumeration date
12/11/2011
Last updated
08/27/2024
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