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Jackie D Kumm, FNP
Family Nurse Practitioner in Harrisonville, Missouri
NPI 1194959510

Jackie D Kumm is a Family Nurse Practitioner based in Harrisonville, MO and is specialized in Family. Jackie D Kumm practices in Harrisonville, MO and has the professional credentials of FNP. The NPI Number for Jackie D Kumm is 1194959510 and holds a License No. 132116 (Missouri).

The current practice location address for Jackie D Kumm is 2820 E Rock Haven Rd Ste 210, Harrisonville, MO and can be reached out via phone at 816-380-7470 and via fax at 816-380-3291.

Location: 2820 E Rock Haven Rd Ste 210, Harrisonville, MO, 64701
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Provider Profile Details
NPI Number
1194959510
Provider Name
Jackie D Kumm
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2820 E Rock Haven Rd Ste 210, Harrisonville, MO, 64701
Phone Number
816-380-7470
Fax Number
816-380-3291
Provider Enumeration Date
05/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
132116 01 MO LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2820 E Rock Haven Rd Ste 210
City
State
Zip
64701-4414
Phone Number
816-380-7470
Fax Number
816-380-3291
person
Provider Business Mailing Address Details
Address
2820 E Rock Haven Rd Ste 210
City
State
Zip
64701-4414
Phone Number
816-380-7470
Fax Number
816-380-3291
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
132116 (Missouri)
Definition
Definition to come...
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