Individual
MRS. JESSICA HAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 679-1363
Mailing address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 679-1363
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005022773
MO
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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