Jacquelyn E Boan in Kansas City - Gerontology
Jacquelyn E Boan - NPI 1063454452
Jacquelyn E Boan is a Gerontology in Kansas City, Missouri. Jacquelyn E Boan practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Jacquelyn E Boan is 1063454452. The last update date is 2012-12-08.
Jacquelyn E Boan's current location address is 11201 Colorado Ave, Kansas City, Missouri. You can contact this provider via phone number 8167650232 and fax number 8167630734. The mailing address for Jacquelyn E Boan is 11201 Colorado Ave, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jacquelyn E Boan |
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Address | 11201 Colorado Ave, Kansas City, Missouri |
Phone Number | 8167650232 |
Fax Number | 8167630734 |
Sole Proprietor | N |
Credentials | FNP |
NPI Number Detail
NPI Number | 1063454452 |
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Provider Enumeration Date | 2006-06-12 |
Last Updated Date | 2012-12-08 |
Provider Mailing Address Detail
Address | 11201 Colorado Ave |
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City | Kansas City |
State | Missouri (MO) |
Post Code | 641372502 |
Phone Number | 8167650232 |
Fax Number | 8167630734 |
Provider's Primary Taxonomy Detail
Speciality | Gerontology |
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Taxonomy | 363Lg0600X |
Licence No | 86946 |
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the Jacquelyn E Boan's unique identification number?
The Jacquelyn E Boan has been assigned the NPI (National Provider Identifier) Number 1063454452 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jacquelyn E Boan is physically located?
The Jacquelyn E Boan is situated at the following address: 11201 Colorado Ave, Kansas City, MO 641372502.
What is Jacquelyn E Boan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jacquelyn E Boan's specialized field of practice is Gerontology, and the corresponding taxonomy code that categorizes this area of specialization is 363Lg0600X.
On what date did the Jacquelyn E Boan receive its 1063454452 assignment from the Centers for Medicare & Medicaid Services?
The Jacquelyn E Boan was assigned its 1063454452 by the Centers for Medicare & Medicaid Services on 2006-06-12.
When was the Jacquelyn E Boan's information last updated?
The Jacquelyn E Boan's information was last updated on 2012-12-08.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA