Individual provider · Type 1 NPI

Jessica Cullen, PA-C

Surgical Physician Assistant · Lees Summit, MO

NPI number 1467733345 Active

Practice location

2861 NE Independence Ave Ste 201
Lees Summit, MO 64064-2379

Fax (816) 525-2841

Other practice locations

  • 12330 Metcalf Ave Ste 400, Overland Park, KS 66213-1307 · (816) 525-2840

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1467733345

Jessica Cullen, PA-C's National Provider Identifier is 1467733345, issued on Sep 6, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lees Summit, MO. The record was last updated on Jan 7, 2021.