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Individual

MISS KATIE NICOLE JASCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AG-ACNP

Contact information

Practice address
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111-3201
(816) 931-1883
(816) 931-7714
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 502-7117
(816) 932-9670

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
13-113795-072
KS
363LA2100X
Acute Care Nurse Practitioner
Primary
2011001998
MO

Other

Enumeration date
06/17/2016
Last updated
11/09/2017
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