Healthcare Provider Details

I. General information

NPI: 1821831470
Provider Name (Legal Business Name): JP CONSULTING SERVICES & EDUCATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925B LAKEVIEW AVE # 0
COLONIAL HEIGHTS VA
23834-1611
US

IV. Provider business mailing address

925B LAKEVIEW AVE # 0
COLONIAL HEIGHTS VA
23834-1611
US

V. Phone/Fax

Practice location:
  • Phone: 816-769-8432
  • Fax:
Mailing address:
  • Phone: 816-769-8432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER PALMER
Title or Position: EXECUTIVE DIRECTOR
Credential: RN
Phone: 816-769-8432