Individual
JILL DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10205 STATE LINE RD, KANSAS CITY, MO 64114-4263
(816) 354-3090
Mailing address
12322 PAWNEE LN, LEAWOOD, KS 66209-1407
(660) 346-0343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024047258
MO
363LF0000X
Family Nurse Practitioner
TMP-162518
KS
Other
Enumeration date
11/23/2024
Last updated
12/04/2024
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