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Individual

MRS. JENNIFER LOUISE BOOKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6509 W 103RD ST, OVERLAND PARK, KS 66212-1728
(913) 649-3701
Mailing address
4411 E 53RD TER, KANSAS CITY, MO 64130-4124
(816) 457-1246

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
53-80333-071
KS

Other

Enumeration date
07/02/2021
Last updated
07/02/2021
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