Individual
JENNIFER CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 NE SAINT LUKES BLVD STE 350, LEES SUMMIT, MO 64086-6007
(816) 347-5600
(816) 347-5674
Mailing address
6512 N CYPRESS AVE, KANSAS CITY, MO 64119-5302
(816) 718-9978
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2019017181
MO
Other
Enumeration date
05/02/2019
Last updated
09/13/2019
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