Provider Demographics
NPI:1144593328
Name:FOLEY, JESSICA (MSN FNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:FOLEY
Suffix:
Gender:F
Credentials:MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8675 COLLEGE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1946
Mailing Address - Country:US
Mailing Address - Phone:913-491-5501
Mailing Address - Fax:913-491-8901
Practice Address - Street 1:8675 COLLEGE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1946
Practice Address - Country:US
Practice Address - Phone:913-491-5501
Practice Address - Fax:913-491-8901
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS144380363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner