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NPI Code Detail

MEDICARE: JESSICA M BAUMGARTEN APRN

MEDICARE: JESSICA M BAUMGARTEN APRN
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
1363LN0000XNeonatal Nurse Practitioner119092KS

General Provider Information

NPI Number : 1598322380
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA M BAUMGARTEN APRN
Provider Business Mailing Address
First Line : 18676 W 161ST ST
Second Line :
City : OLATHE
State : KS
Zip : 66062-2783
Country : US
Telephone Number : 913-205-4790
Fax Number :
Provider Business Practice Location Address
First Line : 2401 GILLHAM RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64108-4619
Country : US
Telephone Number : 816-234-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2019
Last Update Date : 05/28/2019

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