Individual
JENNY R IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
(816) 404-7110
Mailing address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7000
(816) 404-7110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2011007619
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
428822803
—
MO
Enumeration date
03/22/2011
Last updated
12/22/2020
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