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NPI Code Detail

MEDICARE: JACINTA ISMERT NP

MEDICARE: JACINTA ISMERT NP
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
1363L00000XNurse Practitioner5382456062KS
2363L00000XNurse Practitioner2024037428MO

General Provider Information

NPI Number : 1619663036
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACINTA ISMERT NP
Provider Business Mailing Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number : 816-922-1070
Provider Business Practice Location Address
First Line : 3801 DR MARTIN LUTHER KING JR BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2807
Country : US
Telephone Number : 816-923-5800
Fax Number : 816-922-1070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2023
Last Update Date : 02/13/2026

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