=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437172764
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | VALERIE JANSEN A.R.N.P., M.H.N.P
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2006
-----------------------------------------------------
Last Update Date | 01/10/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13830 SANTA FE TRAIL DR STE 106
-----------------------------------------------------
City | LENEXA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66215-3381
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-375-2896
-----------------------------------------------------
Fax | 949-404-6682
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13830 SANTA FE TRAIL DR STE 106
-----------------------------------------------------
City | LENEXA
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66215-3381
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-375-2896
-----------------------------------------------------
Fax | 949-404-6682
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 74871
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------