Healthcare Provider Details

I. General information

NPI: 1396797304
Provider Name (Legal Business Name): JAYME LEANNE APPLEBEE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E WALNUT ST
GARDEN CITY KS
67846-5572
US

IV. Provider business mailing address

PO BOX 803929
KANSAS CITY MO
64180-3929
US

V. Phone/Fax

Practice location:
  • Phone: 620-275-9752
  • Fax: 620-275-4306
Mailing address:
  • Phone: 800-953-0104
  • Fax: 303-765-6670

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number44881
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number79057
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number44881
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: