Healthcare Provider Details

I. General information

NPI: 1417414178
Provider Name (Legal Business Name): ALLISON ALLSBURY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON GORDY

II. Dates (important events)

Enumeration Date: 02/28/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NE VIVION RD STE 100
KANSAS CITY MO
64118-6100
US

IV. Provider business mailing address

11317 MCAFEE RD
ORRICK MO
64077-8023
US

V. Phone/Fax

Practice location:
  • Phone: 816-453-1314
  • Fax: 816-453-3434
Mailing address:
  • Phone: 816-920-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2019007523
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: