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Individual

MRS. JENNIFER RACHEL WATTENBARGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2340 E MEYER BLVD STE 546, KANSAS CITY, MO 64132-1110
(816) 926-0777
(816) 926-0707
Mailing address
2340 E MEYER BLVD BLDG 2, SUITE 546, KANSAS CITY, MO 64132-1105
(816) 926-0777
(816) 926-0707

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
149378
MO
363L00000X
Nurse Practitioner
Primary
45306
KS
363L00000X
Nurse Practitioner
97914
OK

Other

Enumeration date
06/20/2005
Last updated
01/27/2022
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