Individual
SAMANTHA CHESNUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2025024628
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K112144006
—
MO
Enumeration date
02/01/2023
Last updated
07/05/2025
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