Individual
MRS. JAMIE GUDENKAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9400 E 350, RAYTOWN, MO 64133-6509
(816) 251-5700
(816) 251-5701
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
2004018112
MO
363LF0000X
Family Nurse Practitioner
Primary
2018000609
MO
Other
Enumeration date
07/29/2017
Last updated
03/13/2019
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