Provider Demographics
NPI:1003445354
Name:KEARNEY, JAIME LEE (DNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:LEE
Last Name:KEARNEY
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 W 89TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2105
Mailing Address - Country:US
Mailing Address - Phone:816-226-2881
Mailing Address - Fax:
Practice Address - Street 1:5716 W 89TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2105
Practice Address - Country:US
Practice Address - Phone:816-226-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSF02200989363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily