Individual provider · Type 1 NPI
Jacob Gaynor
Family Nurse Practitioner · Kansas City, KS
NPI number
1114898509
Active
Practice location
3901 Raindbow Blvd
Kansas City, KS 66160-0001
Mailing address
906 Trailway Dr
Raymore, MO 64083-8181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 53-84842-041 (KS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114898509
Jacob Gaynor's National Provider Identifier is 1114898509, issued on Sep 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, KS. The record was last updated on Oct 24, 2025.