Healthcare Provider Details

I. General information

NPI: 1861784910
Provider Name (Legal Business Name): JENNIFER ELIZABETH MCDANIEL ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8580 N GREEN HILLS RD STE A
KANSAS CITY MO
64154-1419
US

IV. Provider business mailing address

3800 S WHITNEY AVE STE 200
INDEPENDENCE MO
64055-6739
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-4887
  • Fax: 816-478-7222
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-75329-051
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5375329051
License Number StateKS
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2011007384
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: