Individual
JANICE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3515 S 4TH ST STE 102, LEAVENWORTH, KS 66048-5079
(816) 845-8550
(816) 219-6965
Mailing address
3515 S 4TH ST STE 102, LEAVENWORTH, KS 66048-5079
(816) 845-8550
(816) 219-6965
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
076353
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
076353
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5378952072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42832111
—
MO
Enumeration date
06/16/2006
Last updated
03/21/2025
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