Individual
MEGAN ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, APRN
Contact information
Practice address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
(913) 632-9400
Mailing address
9119 W 74TH ST STE 350, SHAWNEE MISSION, KS 66204-2268
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
58-81879-121
KS
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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