Healthcare Provider Details

I. General information

NPI: 1346145679
Provider Name (Legal Business Name): JENNA ROSE WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 NE INDEPENDENCE AVE
LEES SUMMIT MO
64064-2323
US

IV. Provider business mailing address

2704 NE INDEPENDENCE AVE
LEES SUMMIT MO
64064-2323
US

V. Phone/Fax

Practice location:
  • Phone: 816-446-9018
  • Fax: 816-554-1379
Mailing address:
  • Phone: 816-446-9018
  • Fax: 816-554-1379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number2026047726
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: