Jernigan, Stephanie L

Jernigan, Stephanie L is an individual health care provider with primary practice located at 3901 Rainbow Blvd Mail Stop 4044, Kansas City KS 66160. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jernigan, Stephanie L can be contacted via phone (913) 588-1941.

Contact Information

Primary practice address
3901 Rainbow Blvd Mail Stop 4044 Kansas City KS 66160
Phone: (913) 588-1941
Fax: (913) 588-1943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44619 Kansas

Profile Details

NPI number 1275504698
LBN Legal business name Jernigan, Stephanie L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jan 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275504698 NPPES
Other 500014143 RR MEDICARE

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