MEDICARE: ARDIS JEAN MCFARLANE PA-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	363A00000X	Physician Assistant	2007018124	MO
2	363AM0700X	Medical Physician Assistant	9316	MN
3	363AM0700X	Medical Physician Assistant	2007018124	MO
4	363L00000X	Nurse Practitioner	2007018124	MO

General Provider Information

NPI Number	:	1740275189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARDIS JEAN MCFARLANE PA-C

Provider Business Mailing Address
First Line	:	2790 CLAY EDWARDS DR STE 520
Second Line	:
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3274
Country	:	US
Telephone Number	:	816-221-6750
Fax Number	:	816-221-2335

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR
Second Line	:	SUITE 520
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3276
Country	:	US
Telephone Number	:	816-221-6750
Fax Number	:

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	09/20/2023

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Directions to “ ARDIS JEAN MCFARLANE PA-C” Practice Location

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