Individual
JONATHAN DAVID BROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
9411 N OAK TRFY STE 202, KANSAS CITY, MO 64155-2262
(816) 468-8820
(816) 468-8898
Mailing address
9411 N OAK TRFY STE 202, KANSAS CITY, MO 64155-2262
(816) 468-8820
(816) 468-8898
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017041065
MO
363LF0000X
Family Nurse Practitioner
77957
KS
Other
Enumeration date
01/24/2018
Last updated
01/24/2023
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