Individual
MRS. LISA ANN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4330 WORNALL RD STE 2000, KANSAS CITY, MO 64111-5939
(816) 931-1883
(816) 751-8635
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2009035999
MO
Other
Enumeration date
01/15/2010
Last updated
03/17/2018
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