Individual
JENNIFER PRINCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
7214 N DELTA AVE, KANSAS CITY, MO 64151-2211
(660) 525-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
842585
CA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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