Individual
SHANNON LYNN BUSLEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(816) 698-7170
Mailing address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(954) 336-5896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023038619
MO
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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