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NPI Code Detail

MEDICARE: SAMANTHA ACACIA JANSSEN MD

MEDICARE: SAMANTHA ACACIA JANSSEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician2025029505MO
2207V00000XObstetrics & Gynecology Physician04-51417KS

General Provider Information

NPI Number : 1003493594
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ACACIA JANSSEN MD
Provider Business Mailing Address
First Line : 20 NE SAINT LUKES BLVD STE 310
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-6001
Country : US
Telephone Number : 816-282-7809
Fax Number : 816-282-7870
Provider Business Practice Location Address
First Line : 20 NE SAINT LUKES BLVD STE 310
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64086-6001
Country : US
Telephone Number : 816-282-7809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2021
Last Update Date : 03/11/2026

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Directions to “ SAMANTHA ACACIA JANSSEN MD” Practice Location

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