Individual
JAMES JESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
615 S NEW BALLAS RD, SUITE 3005, SAINT LOUIS, MO 63141-8221
(314) 251-7070
Mailing address
615 S NEW BALLAS RD, SUITE 3005, SAINT LOUIS, MO 63141-8221
(314) 251-7070
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
085003201
IL
363A00000X
Physician Assistant
003759
GA
363A00000X
Physician Assistant
085003201
IL
363AS0400X
Surgical Physician Assistant
Primary
2007034234
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002318B
—
GA
Enumeration date
05/13/2006
Last updated
08/21/2025
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