Individual
MS. COURTNEY J JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
400 SW LONGVIEW BLVD STE 280, LEES SUMMIT, MO 64081-2157
(816) 477-7200
Mailing address
724 SW 30TH ST, BLUE SPRINGS, MO 64015-3381
(816) 718-7484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0038214
OH
363LF0000X
Family Nurse Practitioner
115898
NE
363LF0000X
Family Nurse Practitioner
12487
MN
363LF0000X
Family Nurse Practitioner
16215-33
WI
363LF0000X
Family Nurse Practitioner
Primary
2020029102
MO
363LF0000X
Family Nurse Practitioner
209.031610
IL
363LF0000X
Family Nurse Practitioner
71016015A
IN
363LF0000X
Family Nurse Practitioner
79693
KS
363LF0000X
Family Nurse Practitioner
A181796
IA
Other
Enumeration date
11/04/2020
Last updated
03/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us