MEDICARE: DR. JESSAMINE ENDAYA DALEY DNP, APRN, NP-C

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	2018027535	MO
2	363L00000X	Nurse Practitioner	2018027535	MO

General Provider Information

NPI Number	:	1619457835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSAMINE ENDAYA DALEY DNP, APRN, NP-C

Provider Business Mailing Address
First Line	:	2800 CLAY EDWARDS DRIVE,
Second Line	:	CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116
Country	:	US
Telephone Number	:	816-691-1655
Fax Number	:

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR STE 1235
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3276
Country	:	US
Telephone Number	:	816-691-1920
Fax Number	:	816-346-7210

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

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	04/10/2026

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Directions to “ DR. JESSAMINE ENDAYA DALEY DNP, APRN, NP-C” Practice Location

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