Individual
JENNIFER MICHELLE USSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 S 7 HWY, BLUE SPRINGS, MO 64014-5301
(816) 220-2302
Mailing address
720 SW JOSEPH CIR, GRAIN VALLEY, MO 64029-8407
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018003290
MO
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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