MEDICARE: JACKIE D KUMM F.N.P.

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
1	363LF0000X	Family Nurse Practitioner	132116	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	132116	OTHER	MO	LICENSE NUMBER

General Provider Information

NPI Number	:	1194959510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACKIE D KUMM F.N.P.

Provider Business Mailing Address
First Line	:	2820 E ROCK HAVEN ROAD STE 210
Second Line	:
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701
Country	:	US
Telephone Number	:	816-380-7470
Fax Number	:	816-380-3291

Provider Business Practice Location Address
First Line	:	2820 E ROCK HAVEN RD STE 210
Second Line	:
City	:	HARRISONVILLE
State	:	MO
Zip	:	64701-4414
Country	:	US
Telephone Number	:	816-380-7470
Fax Number	:	816-380-3291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	12/31/2015

Similar Medicare Providers

1568443711 — CASS REGIONAL MEDICAL CENTER
Practice Location Address:

2820 E ROCK HAVEN ROAD , SUITE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax: 816-380-3291

1801826193 — DR. CASSANDRA L BREWSTER MD
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-540-2111
Practice Fax:

1215952197 — TERESA E. GALLAGHER-CALIA M.D.
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax: 816-887-0315

1104061977 — CASS REGIONAL MEDICAL CENTER
Practice Location Address:

2820 E ROCK HAVEN ROAD , SUITE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax: 816-380-3291

1659692135 — HEATHER BLOESSER DO
Practice Location Address:

2820 E ROCK HAVEN RD STE 210
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-380-7470
Practice Fax:

1336570803 — BIO-MEDICAL APPLICATIONS OF MISSOURI, INC.
Practice Location Address:

2820 E ROCK HAVEN RD STE 160
HARRISONVILLE, MO
64701-4414

Practice Phone: 816-884-2582
Practice Fax: 816-884-2562

Directions to “ JACKIE D KUMM F.N.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.