Individual provider · Type 1 NPI
Jamie Leigh Moore, AGNP
Gerontology Nurse Practitioner · Bonner Springs, KS
NPI number
1255808655
Active
Practice location
520 E Morse Ave
Bonner Springs, KS 66012-1911
Fax (913) 441-7313
Mailing address
10550 Marty St Ste 201
Overland Park, KS 66212-2557
Other practice locations
- 10550 Marty St Ste 201, Overland Park, KS 66212-2557 · (913) 341-4000
- 6460 N Cosby Ave, Kansas City, MO 64151-2301 · (816) 875-3776
- 10665 Barkley St, Overland Park, KS 66212-1848 · (913) 642-5400
- 1010 E 68th St, Kansas City, MO 64131-1311 · (816) 846-0870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 2018038102 (MO) |
Gerontology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1255808655
Jamie Leigh Moore, AGNP's National Provider Identifier is 1255808655, issued on Oct 24, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Bonner Springs, KS. The record was last updated on Jul 8, 2026.