Healthcare Provider Details

I. General information

NPI: 1295674646
Provider Name (Legal Business Name): AMANDA MCCLAFFERTY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 N TWYMAN RD
INDEPENDENCE MO
64058-3212
US

IV. Provider business mailing address

435 N QUEEN RIDGE AVE
INDEPENDENCE MO
64056-1594
US

V. Phone/Fax

Practice location:
  • Phone: 816-750-1813
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2021001455
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: