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Organization
BRAIN FIRST FAMILY CENTER LLC
Active
Organization
BRAIN FIRST FAMILY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN K JOLLY PMHNP-BVC (OWNER)
(913) 399-1924
Entity
Organization
Contact information
Practice address
8700 MONROVIA ST STE 310, LENEXA, KS 66215-3500
(913) 399-1924
(913) 940-1045
Mailing address
15621 W 87TH ST # 264, LENEXA, KS 66219-1435
(913) 399-1924
(913) 940-1045
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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