Individual
MRS. JACQUELYN E BOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11201 COLORADO AVE, KANSAS CITY, MO 64137-2502
(816) 765-0232
(816) 763-0734
Mailing address
11201 COLORADO AVE, KANSAS CITY, MO 64137-2502
(816) 765-0232
(816) 763-0734
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
086946
MO
Other
Enumeration date
06/12/2006
Last updated
12/08/2012
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