MEDICARE: JESSICA J TAGGART ARNP

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	363LA2200X	Adult Health Nurse Practitioner	2013008387	MO

General Provider Information

NPI Number	:	1679815088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA J TAGGART ARNP

Provider Business Mailing Address
First Line	:	PO BOX 18412
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60055-8412
Country	:	US
Telephone Number	:	866-525-5484
Fax Number	:

Provider Business Practice Location Address
First Line	:	4309 E 50TH TER STE 200
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-8500
Country	:	US
Telephone Number	:	816-561-8784
Fax Number	:	877-286-3519

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

Provider Enumeration Date	:	03/24/2013
Last Update Date	:	04/16/2026

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