Individual
MRS. JESSICA MARIE PREMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
380 W 22ND ST, APT. 508, KANSAS CITY, MO 64108-2077
(618) 550-9423
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2015032217
MO
367500000X
Certified Registered Nurse Anesthetist
557341
KS
Other
Enumeration date
06/15/2015
Last updated
09/14/2023
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