IndividualActive
James Jesse, PA
NPI 1861443038 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1861443038
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2007034234 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
615 S New Ballas Rd
Suite 3005
Saint Louis, MO 63141-8221
Phone: (314) 251-7070
Approximate (ZIP-level) locationGet directions
Mailing address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Registry dates
- Enumerated
- 2006-05-13
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.