Individual
JENNIFER ANNE KUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1901 W KANSAS ST, LIBERTY, MO 64068-2060
(816) 781-0035
Mailing address
1901 W KANSAS ST, LIBERTY, MO 64068-2060
(816) 394-0144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2002018650
MO
363LF0000X
Family Nurse Practitioner
Primary
2019038966
MO
Other
Enumeration date
07/31/2019
Last updated
12/09/2025
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