Organization · Type 2 NPI

John Knox Village

Nurse Practitioner · Lees Summit, MO

NPI number 1609118702 Active

Practice location

600 NW Pryor Rd
Lees Summit, MO 64081-1104

Fax (913) 381-0979

Mailing address

PO Box 25010
Overland Park, KS 66225-5010

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2011034116 (MO)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609118702

John Knox Village's National Provider Identifier is 1609118702, issued on Mar 27, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lees Summit, MO. The record was last updated on Mar 27, 2013.