Individual
MRS. SARAH JANE BETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3736 LOCUST ST, APARTMENT 32, KANSAS CITY, MO 64109-2283
(785) 375-6166
Mailing address
3736 LOCUST ST, APARTMENT 32, KANSAS CITY, MO 64109-2283
(785) 375-6166
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
53-77457-091
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53-77457-091
AGACNP LICENSE
KS
Enumeration date
11/10/2016
Last updated
03/19/2022
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