Healthcare Provider Details

I. General information

NPI: 1346758232
Provider Name (Legal Business Name): HADLEIGH SUE JONES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2018
Last Update Date: 01/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 RAINBOW BLVD
KANSAS CITY KS
66160-8500
US

IV. Provider business mailing address

1405 NE 107TH ST
KANSAS CITY MO
64155-1531
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-3316
  • Fax:
Mailing address:
  • Phone: 816-213-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SC0200X
TaxonomyCritical Care Medicine Clinical Nurse Specialist
License Number13-119408-021
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: