Individual
JENNIFER MCIVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
20375 W 151ST ST, OLATHE, KS 66061-5306
(913) 829-4001
Mailing address
13006 NOLAND ST, OVERLAND PARK, KS 66213-2347
(913) 548-5915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
80313
KS
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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