Individual
JESSIRAE BROUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
2525 GLENN HENDREN DR, ANESTHESIA DEPT, LIBERTY, MO 64068-9625
(816) 781-7200
(816) 792-7196
Mailing address
PO BOX 804408, KANSAS CITY, MO 64180-4408
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2014018078
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326452962
—
MO
01
—
50498011
BCBS KC
MO
01
—
P01350390
RAILROAD
MO
Enumeration date
06/11/2014
Last updated
12/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us