Healthcare Provider Details

I. General information

NPI: 1275449167
Provider Name (Legal Business Name): JALEAH R HESS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2751 THOMAS DRIVE
CAPE GIRARDEAU MO
63701
US

IV. Provider business mailing address

2751 THOMAS DRIVE
CAPE GIRARDEAU MO
63701
US

V. Phone/Fax

Practice location:
  • Phone: 573-803-5002
  • Fax: 573-803-5008
Mailing address:
  • Phone: 573-803-5002
  • Fax: 573-803-5008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2026035699
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: