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Individual

DANIELLE JESSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
400 SW LONGVIEW BLVD, LEES SUMMIT, MO 64081-2103
(913) 215-5008
Mailing address
400 SW LONGVIEW BLVD, LEES SUMMIT, MO 64081-2103
(913) 215-5008

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016000739
MO
363LF0000X
Family Nurse Practitioner
Primary
2020001360
MO
363LF0000X
Family Nurse Practitioner
53-79286-111
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016289095
PTAN
KS
05
30004700380001
KS
05
420083880
MO
Enumeration date
10/29/2019
Last updated
02/19/2026
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