Individual
JESSICA SOUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NW PRYOR RD UNIT 300, LEES SUMMIT, MO 64081-1104
(816) 347-4513
Mailing address
600 NW PRYOR RD UNIT 300, LEES SUMMIT, MO 64081-1104
(816) 347-4513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2005018725
MO
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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