Individual
JESSICA M LOUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-1227
Mailing address
5114 FINDLEY ST, SHAWNEE, KS 66226-2718
(620) 794-0091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
148740
KS
363LF0000X
Family Nurse Practitioner
2025007914
MO
363LF0000X
Family Nurse Practitioner
Primary
53-84232
KS
363LP2300X
Primary Care Nurse Practitioner
2025007914
MO
363LP2300X
Primary Care Nurse Practitioner
TMP-162812
KS
Other
Enumeration date
07/24/2024
Last updated
06/19/2025
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