Provider Demographics
NPI:1407874209
Name:MAKONA, JANE VIOLET (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:VIOLET
Last Name:MAKONA
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 104TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4517
Mailing Address - Country:US
Mailing Address - Phone:816-502-8782
Mailing Address - Fax:
Practice Address - Street 1:13550 W 63RD ST
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-3814
Practice Address - Country:US
Practice Address - Phone:913-323-8870
Practice Address - Fax:913-323-8871
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45530-011363LF0000X
MO152960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
1407874209OtherFAMILY NURSE PRACTITIONER