Healthcare Provider Details

I. General information

NPI: 1568392710
Provider Name (Legal Business Name): JAZMIN MERCEDES MCELROY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

7575 W 106TH ST APT 252
OVERLAND PARK KS
66212-5910
US

V. Phone/Fax

Practice location:
  • Phone: 816-922-2150
  • Fax:
Mailing address:
  • Phone: 417-366-1705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: