Healthcare Provider Details

I. General information

NPI: 1992663793
Provider Name (Legal Business Name): JUAN CARLOS GARCIA JR. FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JC GARCIA JR. FNP-C

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20375 W 151ST ST STE 105
OLATHE KS
66061-5353
US

IV. Provider business mailing address

20375 W 151ST ST
OLATHE KS
66061-5306
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-1227
  • Fax:
Mailing address:
  • Phone: 913-445-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-85765-101
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: