Individual
DAVID SHAWN JACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-BC
Contact information
Practice address
16659 E 23RD ST S, INDEPENDENCE, MO 64055-1922
(816) 688-6000
(816) 631-1855
Mailing address
PO BOX 740019, ATLANTA, GA 30374-0019
(816) 688-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
77994
KS
363LF0000X
Family Nurse Practitioner
Primary
2017044329
MO
Other
Enumeration date
01/10/2018
Last updated
01/02/2025
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