Individual
SALLY A JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11600 COLLEGE BLVD STE 201, OVERLAND PARK, KS 66210-2786
(913) 310-0225
(913) 310-0565
Mailing address
11600 COLLEGE BLVD STE 201, OVERLAND PARK, KS 66210-2786
(913) 310-0225
(913) 310-0565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13103396102
KS
363L00000X
Nurse Practitioner
75698
KS
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
75698
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200879040A
—
KS
Enumeration date
06/08/2012
Last updated
02/20/2023
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