Individual provider · Type 1 NPI
James Jesse, PA
Surgical Physician Assistant · St. Louis, MO
NPI number
1861443038
Active
Practice location
615 S New Ballas Rd, Suite 3005
St. Louis, MO 63141-8221
Mailing address
615 S New Ballas Rd Ste 3005
St. Louis, MO 63141-8221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 2007034234 (MO) |
| Physician Assistant | 363A00000X | 085003201 (IL) |
Surgical Physician Assistant: Definition to come...
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About NPI 1861443038
James Jesse, PA's National Provider Identifier is 1861443038, issued on May 13, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Louis, MO. The record was last updated on Oct 15, 2026.