Individual
MRS. DEBORAH A. JAKLEVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Contact information
Practice address
3101 BROADWAY ST, KANSAS CITY, MO 64111-2659
(816) 960-3050
(816) 960-3038
Mailing address
3101 BROADWAY ST, KANSAS CITY, MO 64111-2659
(816) 960-3050
(916) 960-3038
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2010009581
MO
363LF0000X
Family Nurse Practitioner
5375104012
KS
Other
Enumeration date
06/14/2010
Last updated
01/17/2012
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