Individual provider · Type 1 NPI
Jacqueline De la Cruz
Family Nurse Practitioner · Kansas City, MO
NPI number
1902658677
Active
Practice location
7900 Lees Summit Rd
Kansas City, MO 64139-1236
Fax (816) 404-9346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2024034560 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1902658677
Jacqueline De la Cruz's National Provider Identifier is 1902658677, issued on Apr 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kansas City, MO. The record was last updated on Feb 16, 2026.