Healthcare Provider Details

I. General information

NPI: 1780885970
Provider Name (Legal Business Name): APRIL SCRUGGS GARDNER FNP, PMH-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 03/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 NE RICE RD
LEES SUMMIT MO
64086-5849
US

IV. Provider business mailing address

1515 NE RICE RD
LEES SUMMIT MO
64086-5849
US

V. Phone/Fax

Practice location:
  • Phone: 816-966-0900
  • Fax:
Mailing address:
  • Phone: 816-966-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number2016037525
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2016037526
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: