Individual provider · Type 1 NPI

Jessie Nichole Fazel, APRN

Family Nurse Practitioner · Overland Park, KS

NPI number 1255682076 Active

Practice location

5808 W 110th St
Overland Park, KS 66211-2504

Mailing address

2401 Gillham Rd
Kansas City, MO 64108-4619

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X75765 (KS)

Family Nurse Practitioner: Definition to come...

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About NPI 1255682076

Jessie Nichole Fazel, APRN's National Provider Identifier is 1255682076, issued on Sep 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Overland Park, KS. The record was last updated on Mar 24, 2021.