# JESSICA DAWN KIRK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235262924
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 77419 | KS | Yes |
| 363LF0000X | Family Nurse Practitioner | 2002026638 | MO | — |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 06/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1235262924 | — | MO |
| 05 | — | 426300208 | — | MO |
| 01 | — | P00419085 | RR MEDICARE | — |