Individual
JAMIE L EASUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 RAINBOW BLVD, STE G600, KANSAS CITY, KS 66160-0001
(913) 588-9600
Mailing address
5501 NW 62ND TER, STE 201, KANSAS CITY, MO 64151-2411
(913) 588-9600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-85316-052
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
46256
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200596900A
—
KS
Enumeration date
08/27/2008
Last updated
02/02/2012
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