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Tina Nichole Lane, FNP
Nurse Practitioner in Lees Summit, Missouri
NPI 1104470772

Tina Nichole Lane is a Nurse Practitioner based in Lees Summit, MO. Tina Nichole Lane practices in Lees Summit, MO and has the professional credentials of FNP. The NPI Number for Tina Nichole Lane is 1104470772 and holds a License No. 135267 (Missouri).

The current practice location address for Tina Nichole Lane is 400 Sw Longview Blvd Ste 200, Lees Summit, MO and can be reached out via phone at 913-215-5008. You can also correspond with Tina Nichole Lane through the mailing address at 400 SW LONGVIEW BLVD STE 200, LEES SUMMIT, MO - 64081-2116 (mailing address contact number: 913-215-5008).

Location: 400 Sw Longview Blvd Ste 200, Lees Summit, MO, 64081-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104470772
Provider Name
Tina Nichole Lane
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
400 Sw Longview Blvd Ste 200, Lees Summit, MO, 64081-2116
Phone Number
913-215-5008
Fax Number
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Sw Longview Blvd Ste 200
City
Lees Summit
State
Missouri
Zip
64081-2116
Phone Number
913-215-5008
Fax Number
person
Provider Business Mailing Address Details
Address
400 Sw Longview Blvd Ste 200
City
Lees Summit
State
Missouri
Zip
64081-2116
Phone Number
913-215-5008
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Emergency
Taxonomy
163WE0003X
License No.
2019043201 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2019043201 (Missouri)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
135267 (Missouri)
Definition
Definition to come...
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