Provider Demographics
NPI:1437172764
Name:JANSEN, VALERIE (ARNP, MHNP)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:JANSEN
Suffix:
Gender:F
Credentials:ARNP, MHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13830 SANTA FE TRAIL DR STE 106
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-3381
Mailing Address - Country:US
Mailing Address - Phone:913-375-2896
Mailing Address - Fax:949-404-6682
Practice Address - Street 1:13830 SANTA FE TRAIL DR STE 106
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-3381
Practice Address - Country:US
Practice Address - Phone:913-375-2896
Practice Address - Fax:949-404-6682
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS74871363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS74871OtherSTATE LICENSE
KS30004354430003Medicaid