Individual provider · Type 1 NPI
Jessica Amanda Upson, PNP
Pediatric Nurse Practitioner · Liberty, MO
NPI number
1760073084
Active
Practice location
2525 Glenn Hendren Dr
Liberty, MO 64068-9600
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2020037661 (MO) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1760073084
Jessica Amanda Upson, PNP's National Provider Identifier is 1760073084, issued on Jan 29, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Liberty, MO. The record was last updated on Jan 29, 2021.