Healthcare Provider Details

I. General information

NPI: 1639096548
Provider Name (Legal Business Name): JIREH WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S JEFFERSON ST STE B7
KEARNEY MO
64060-8833
US

IV. Provider business mailing address

105 S JEFFERSON ST STE B7
KEARNEY MO
64060-8833
US

V. Phone/Fax

Practice location:
  • Phone: 816-451-9370
  • Fax:
Mailing address:
  • Phone: 816-451-9370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RANDOL RAMSEIER
Title or Position: OWNER, FNP-C
Credential: APRN
Phone: 816-451-9370