Individual
JEFFREY NOWLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
2790 CLAY EDWARDS DR STE 650, KANSAS CITY, MO 64116-3279
(816) 459-7500
(816) 207-3768
Mailing address
2790 CLAY EDWARDS DR STE 650, KANSAS CITY, MO 64116-3279
(816) 459-7500
(816) 207-3768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-03249
KS
363A00000X
Physician Assistant
Primary
2025044489
MO
363A00000X
Physician Assistant
PA218626
OR
363A00000X
Physician Assistant
PA2695
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500831505
—
OR
Enumeration date
04/27/2021
Last updated
04/02/2026
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