Individual
JENNIFER WITZKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13101 STATE LINE RD, KANSAS CITY, MO 64145-1650
(866) 389-2727
Mailing address
1809 SHANNON DR, LIBERTY, MO 64068-2892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2019022277
MO
363LF0000X
Family Nurse Practitioner
Primary
2024009166
MO
363LF0000X
Family Nurse Practitioner
5383564062
KS
Other
Enumeration date
11/08/2023
Last updated
12/17/2024
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