Individual provider · Type 1 NPI
Jennifer Leath, APRN, CPNP-AC
Critical Care Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1447799655
Active
Practice location
2401 Gillham Rd, Provider Enrollment
Kansas City, MO 64108-4619
Fax (816) 302-9939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 77593 (KS) |
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 2017006787 (MO) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1447799655
Jennifer Leath, APRN, CPNP-AC's National Provider Identifier is 1447799655, issued on Feb 21, 2017. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Kansas City, MO. The record was last updated on Mar 15, 2017.