Individual
JO ELLEN COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5151 TROOST AVE, SUITE 200, KANSAS CITY, MO 64110-2543
(816) 237-1616
(816) 237-1655
Mailing address
5151 TROOST AVE, SUITE 200, KANSAS CITY, MO 64110-2543
(816) 237-1616
(816) 237-1655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2007014466
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007014466
LICENSE
MO
Enumeration date
06/19/2007
Last updated
02/03/2016
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