Healthcare Provider Details

I. General information

NPI: 1548207251
Provider Name (Legal Business Name): GINGER E MCINTOSH-JAMES RN, BC, ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 N CHURCH RD
LIBERTY MO
64068-7129
US

IV. Provider business mailing address

2330 SHAWNEE MISSION PKWY STE 312
WESTWOOD KS
66205-2005
US

V. Phone/Fax

Practice location:
  • Phone: 816-781-1696
  • Fax: 913-945-9611
Mailing address:
  • Phone: 913-588-9600
  • Fax: 913-588-9770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number44762
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number112426
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: