Individual
JESSICA LUCILLE SHELTON-TREECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6420 N PROSPECT AVE, GLADSTONE, MO 64119-1530
(913) 945-9700
(913) 945-9707
Mailing address
6420 N PROSPECT AVE, GLADSTONE, MO 64119-1530
(916) 945-9700
(913) 945-9707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015010575
MO
207Q00000X
Family Medicine Physician
9408012
KS
Other
Enumeration date
07/09/2012
Last updated
04/27/2021
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