Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 2009035045 | MO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 5344258111 | KS |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 2009035045 | MO |
N | 363LP0200X | Nurse Practitioner - Pediatrics | 5344258111 | KS |
NPI | 1346566726 |
---|---|
Provider Name | Jean Marie Bohning |
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 | 11/04/2010 |
Last Update Date | 11/04/2010 |