MEDICARE: MRS. JEANNE I RODMAN NPC

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	363L00000X	Nurse Practitioner	136622	MO

General Provider Information

NPI Number	:	1700876059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JEANNE I RODMAN NPC

Provider Business Mailing Address
First Line	:	PO BOX 802843
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-2843
Country	:	US
Telephone Number	:	417-730-6430
Fax Number	:	417-269-7567

Provider Business Practice Location Address
First Line	:	202 N COMMERCIAL ST
Second Line	:
City	:	SEYMOUR
State	:	MO
Zip	:	65746-8858
Country	:	US
Telephone Number	:	417-269-2100
Fax Number	:	417-269-2103

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

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	03/12/2026

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Directions to “ MRS. JEANNE I RODMAN NPC” Practice Location

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