NPI 1235761826

Marissa Ann Burgess, PAC

Practitioner Physician Assistant Jefferson City, MO

Practice location

Address: 1306 W Main St, Jefferson City, MO 65109-1356
Phone: (702) 899-0595
Fax: (702) 977-1496
Mailing address: PO Box 74008272, Chicago, IL 60674-8272

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2020001246 (MO)

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Registry record

NPI: 1235761826
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2020
Record last updated: 7 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.