Healthcare Provider Details

I. General information

NPI: 1679406276
Provider Name (Legal Business Name): JANAE DENNY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9250 RENNER BLVD APT 514
LENEXA KS
66219-8561
US

IV. Provider business mailing address

9250 RENNER BLVD APT 514
LENEXA KS
66219-8561
US

V. Phone/Fax

Practice location:
  • Phone: 620-966-6672
  • Fax:
Mailing address:
  • Phone: 620-966-6672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-166937-041
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: