Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 119571 | MO |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 44483 | KS |
NPI | 1154472819 |
---|---|
Provider Name | Mrs. Jill Marie Welhoelter |
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 | 16/01/2007 |
Last Update Date | 01/12/2015 |