Individual
STACEY S BLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2401 GILLHAM RD., NEONATOLOGY, KANSAS CITY, MO 64108-4619
(816) 234-3591
(816) 234-3590
Mailing address
2401 GILLHAM RD., PROVIDER ENROLLMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
77768
KS
363LN0000X
Neonatal Nurse Practitioner
Primary
2017024741
MO
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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