Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 113808 | MO |
N | 363LN0000X | Nurse Practitioner - Neonatal | 14-85146-081 | KS |
N | 363LN0000X | Nurse Practitioner - Neonatal | 45068 | KS |
NPI | 1043268675 |
---|---|
Provider Name | Janice L Garrett |
First Address | Kansas City, MO 64108-4619 |
Second Address | Kansas City, MO 64108-4619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
113808 | MO ARNP (01) | MO |
14-85146-081 | KS LICENSE (01) | KS |
45068 | KS ARNP (01) | KS |