Healthcare Provider Details

I. General information

NPI: 1801537329
Provider Name (Legal Business Name): JESSICA KAY STERNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 NW OBRIEN RD
LEES SUMMIT MO
64063-1806
US

IV. Provider business mailing address

601 NW OBRIEN RD
LEES SUMMIT MO
64063-1806
US

V. Phone/Fax

Practice location:
  • Phone: 816-387-1528
  • Fax: 343-503-0640
Mailing address:
  • Phone: 816-287-1528
  • Fax: 343-503-0640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2026038540
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: