Jessica Reed, NP

Emily McCullough, FNP, is a certified family medicine nurse practitioner who treats patients of all ages. She offers preventive care, including annual wellness physicals, well-woman exams, pediatric visits, sick visits, vaccinations, and the management of both acute and chronic conditions. Emily specializes in treating asthma, diabetes, minor illnesses and injuries, colds and flu, headaches, and menopausal symptoms. She also provides consultations for contraception and can assist with placement. After spending twelve years as a labor and delivery nurse, Emily became a family nurse practitioner. Currently, she is dedicated to providing comprehensive care to patients of all ages and life stages.

Dr. Ayyagari's practice is part of Parkland Health Center in Farmington, Missouri.

Ryane E. Fitzwater, PA-C, is a certified physician assistant specializing in cardiovascular disease and emergency medicine. She completed her training at Nova Southeastern University in Orlando, Florida. Before joining BJC Medical Group Cardiology, Ryane practiced as an emergency medicine physician assistant for nine years. Ryane sees patients aged 13 and above for adult and pediatric cardiovascular conditions, coronary artery disease, high cholesterol, hypertension, arrhythmia, atrial fibrillation, congestive heart failure, peripheral vascular disease, and more. Ryane finds cardiovascular treatment interesting and rewarding, as there are always exciting new procedures and patient care techniques being developed. She enjoys the patient-provider relationship and always puts her patients first. Ryane focuses on patient education, her availability to her patients, and time spent understanding and answering their questions. Ryane is a mother of two and a triathlete. She loves to read and enjoys new food and new experiences. Ryane E. Fitzwater, PA-C, is part of BJC Medical Group of Missouri, a well-established, multi-specialty physician group.