Healthcare Provider Details

I. General information

NPI: 1386112589
Provider Name (Legal Business Name): ALEXIS PACIS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2018
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2790 CLAY EDWARDS DR STE 1235
NORTH KANSAS CITY MO
64116-3276
US

IV. Provider business mailing address

2790 CLAY EDWARDS DR STE 1235
NORTH KANSAS CITY MO
64116-3276
US

V. Phone/Fax

Practice location:
  • Phone: 816-472-5157
  • Fax: 816-472-7201
Mailing address:
  • Phone: 816-472-5157
  • Fax: 816-472-7201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number2007019883
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2018040230
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: