Individual provider · Type 1 NPI

Tina Nichole Lane, FNP

Nurse Practitioner · Lees Summit, MO

NPI number 1104470772 Active

Practice location

400 SW Longview Blvd Ste 200
Lees Summit, MO 64081-2116

Other practice locations

  • 2915 NE Viewpark Cir, Lees Summit, MO 64086-7104 · (816) 914-5052

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X135267 (MO)
Family Nurse Practitioner 363LF0000X2019043201 (MO)
Nurse Practitioner Primary 363L00000X2019043201 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1104470772

Tina Nichole Lane, FNP's National Provider Identifier is 1104470772, issued on Jul 31, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lees Summit, MO. The record was last updated on Oct 25, 2021.