Individual
BROOKE MARIE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
12256 STATE LINE RD., LEAWOOD, KS 66209
(913) 345-9888
(913) 345-0958
Mailing address
12256 STATE LINE RD., LEAWOOD, KS 66209
(913) 345-9888
(913) 345-0958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-111661-101
KS
363LF0000X
Family Nurse Practitioner
Primary
5376259101
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA3281001
MEDICARE PTAN
KS
Enumeration date
06/10/2014
Last updated
12/04/2014
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