Healthcare Provider Details

I. General information

NPI: 1780106039
Provider Name (Legal Business Name): JENNIFER PARNELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 N BELT HWY
SAINT JOSEPH MO
64506-2410
US

IV. Provider business mailing address

2401 GILLHAM RD.
KANSAS CITY MO
64108
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-7077
  • Fax: 816-271-0421
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017023146
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2017023146
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: