Individual
JESSICA LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2861 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64064-2350
(816) 525-5840
Mailing address
6301 N LUCERNE AVE, KANSAS CITY, MO 64151-3105
(816) 525-2840
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
08/18/2025
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