Individual
LAURA JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
508 PALO VERDE DR, BELTON, MO 64012-3343
(816) 719-1496
Mailing address
508 PALO VERDE DR, BELTON, MO 64012-3343
(816) 719-1496
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2008007328
MO
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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