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NPI Code Detail

MEDICARE: MRS. JESSICA M JANTZ R.D.

MEDICARE: MRS. JESSICA M JANTZ R.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian998352CA

General Provider Information

NPI Number : 1427322015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA M JANTZ R.D.
Provider Business Mailing Address
First Line : 1208 NW 112TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64155-3686
Country : US
Telephone Number : 816-226-6605
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 101ST TER
Second Line : STE 350
City : KANSAS CITY
State : MO
Zip : 64131-5310
Country : US
Telephone Number : 816-226-6605
Fax Number : 816-877-9137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/29/2012
Last Update Date : 02/25/2022

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