Individual
JESSICA JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8660 W 96TH ST, OVERLAND PARK, KS 66212-3315
(913) 568-0608
(913) 213-3924
Mailing address
8660 W 96TH ST, OVERLAND PARK, KS 66212-3315
(913) 568-0608
(913) 213-3924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-38570
KS
207R00000X
Internal Medicine Physician
2008016318
MO
Other
Enumeration date
06/17/2008
Last updated
12/03/2018
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