Individual
JENELLE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 SOUTHWEST BLVD, KANSAS CITY, KS 66103-2150
(913) 722-3100
(913) 722-2542
Mailing address
4600 COLLEGE BLVD, STE 103, OVERLAND PARK, KS 66211-1606
(913) 215-5008
(913) 297-1202
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000000000
KS
Other
Enumeration date
09/04/2018
Last updated
07/02/2019
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