Individual provider · Type 1 NPI
Courtney J. Jack, APRN-BC
Family Nurse Practitioner · Lees Summit, MO
NPI number
1336740620
Active
Practice location
400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157
Mailing address
724 SW 30th St
Blue Springs, MO 64015-3381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.031610 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 2020029102 (MO) |
| Family Nurse Practitioner | 363LF0000X | 79693 (KS) |
| Family Nurse Practitioner | 363LF0000X | A181796 (IA) |
| Family Nurse Practitioner | 363LF0000X | 0038214 (OH) |
| Family Nurse Practitioner | 363LF0000X | 16215-33 (WI) |
| Family Nurse Practitioner | 363LF0000X | 71016015A (IN) |
| Family Nurse Practitioner | 363LF0000X | 12487 (MN) |
| Family Nurse Practitioner | 363LF0000X | 115898 (NE) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Allyson Victoria Lynn BraymerNurse Practitioner Lees Summit, MO NPI 1497435432
- Caroline Lucille Martin, DOFamily Medicine Physician Lees Summit, MO NPI 1346627049
- Dane K. Wicks, MDFamily Medicine Physician Lees Summit, MO NPI 1912989138
- Danette Bonecutter, FNP-CFamily Nurse Practitioner Lees Summit, MO NPI 1477933604
- Dennis R. Drews, MDInternal Medicine Physician Lees Summit, MO NPI 1972614519
Other family nurse practitioner providers in Lees Summit
- Rachael GoodmanFamily Nurse Practitioner Lees Summit, MO NPI 1013569151
- Marie Ruth Tabler, APRN, FNP-CFamily Nurse Practitioner Lees Summit, MO NPI 1013822428
- Brenda Sue Salazar, APRNFamily Nurse Practitioner Lees Summit, MO NPI 1033669247
- Stephanie Raychael Hulse, NP-FNPFamily Nurse Practitioner Lees Summit, MO NPI 1033706619
- Maddison Pearl Selley, FNP-CFamily Nurse Practitioner Lees Summit, MO NPI 1033922604
- Whitney Marie Belshe, APRN, FNP-CFamily Nurse Practitioner Lees Summit, MO NPI 1033944343
- Makenzie Kayla Stroup, FNP-BCFamily Nurse Practitioner Lees Summit, MO NPI 1063132827
- Brandon Earl Jones, FNP-BCFamily Nurse Practitioner Lees Summit, MO NPI 1073257317
About NPI 1336740620
Courtney J. Jack, APRN-BC's National Provider Identifier is 1336740620, issued on Nov 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lees Summit, MO. The record was last updated on Mar 21, 2025.