Individual
MRS. JANE VIOLET MAKONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
13550 W 63RD ST, SHAWNEE, KS 66216-3814
(913) 323-8870
(913) 323-8871
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(816) 502-8782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-45530-011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407874209
FAMILY NURSE PRACTITIONER
—
Enumeration date
07/18/2006
Last updated
03/08/2019
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