Individual
JENNIFER J. ROGGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC, AOCNP
Contact information
Practice address
2750 CLAY EDWARDS DR LOWR LEVEL010, NORTH KANSAS CITY, MO 64116-3237
(913) 574-1050
(913) 574-1055
Mailing address
11300 CORPORATE AVE, LENEXA, KS 66219-1374
(913) 574-2800
(913) 574-2336
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121297
MO
163W00000X
Registered Nurse
14-82525-042
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
121297
MO
363LA2200X
Adult Health Nurse Practitioner
45513
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578714895
—
MO
05
—
200633470B
—
KS
Enumeration date
10/06/2008
Last updated
12/11/2018
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