Individual
MRS. JENNIFER MARIE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2820 E ROCK HAVEN RD, STE. 100, HARRISONVILLE, MO 64701-4411
(816) 380-3852
Mailing address
1532 NE DEER CT, LEES SUMMIT, MO 64086-5966
(913) 207-2710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017008075
MO
Other
Enumeration date
03/21/2017
Last updated
01/03/2023
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