Healthcare Provider Details

I. General information

NPI: 1831462167
Provider Name (Legal Business Name): VALERIE LYNN JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2012
Last Update Date: 01/14/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 SE BLUE PKWY SUITE 270-B
LEES SUMMIT MO
64063-1041
US

IV. Provider business mailing address

2000 SE BLUE PKWY SUITE 270-B
LEES SUMMIT MO
64063-1041
US

V. Phone/Fax

Practice location:
  • Phone: 816-524-8488
  • Fax: 877-422-9013
Mailing address:
  • Phone: 816-524-8488
  • Fax: 877-422-9013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2012003070
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: