Individual provider · Type 1 NPI

Josie Marie Zuckerman, PA-C

Physician Assistant · St. Louis, MO

NPI number 1679674964 Active

Practice location

401 Holly Hills Ave
St. Louis, MO 63111-2410

Call (314) 353-5190 Map

Fax (314) 353-7631

Mailing address

3824 S Grand Blvd
St. Louis, MO 63118-3412

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X102583 (MO)

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…

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About NPI 1679674964

Josie Marie Zuckerman, PA-C's National Provider Identifier is 1679674964, issued on Sep 26, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Sep 1, 2026.