Individual
JANELLE RAE HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP-BC
Contact information
Practice address
3521 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2337
(816) 554-8346
(816) 554-9470
Mailing address
3521 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2337
(816) 554-8346
(816) 554-9470
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
146402
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
425829900
—
MO
Enumeration date
08/22/2005
Last updated
08/17/2022
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