Individual
JESSICA R KIENTZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Contact information
Practice address
17844 E 23RD ST S, INDEPENDENCE, MO 64057-1840
(816) 254-3652
(816) 254-9243
Mailing address
PO BOX 844715, KANSAS CITY, MO 64184-4715
(417) 761-5214
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2014024533
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2025021371
MO
Other
Enumeration date
04/08/2025
Last updated
07/17/2025
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