Individual
JILL E KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 NE SAINT LUKES BLVD STE 220, LEES SUMMIT, MO 64086-6011
(816) 932-7900
(816) 932-7920
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 599-9499
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2008003894
MO
363LF0000X
Family Nurse Practitioner
Primary
F10191170
MO
Other
Enumeration date
08/13/2019
Last updated
04/23/2020
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