Individual provider · Type 1 NPI
Justin Lynn Northcutt, PA-C
Physician Assistant · St. Louis, MO
Practice location
12639 Old Tesson Rd., Suite 115
St. Louis, MO 63128-2786
Fax (314) 849-4423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 085007547 (IL) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
2 other providers at this address
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About NPI 1194351668
Justin Lynn Northcutt, PA-C's National Provider Identifier is 1194351668, issued on Mar 17, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 2, 2026.