Individual
JESSICA KOPRIVICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2000
Mailing address
12525 LEAVENWORTH RD, KANSAS CITY, KS 66109-3362
(913) 745-6472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011003665
MO
363LF0000X
Family Nurse Practitioner
2011003665
MO
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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