Individual provider · Type 1 NPI
Jesse Baltazar Merino, DNP, APRN, CPNP-PC
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1891417614
Active
Practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2022037518 (MO) |
| Pediatric Nurse Practitioner | 363LP0200X | 53-82371-011 (KS) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1891417614
Jesse Baltazar Merino, DNP, APRN, CPNP-PC's National Provider Identifier is 1891417614, issued on Sep 19, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Feb 24, 2026.