Provider Demographics
NPI:1619396033
Name:ESPINOSA, JAMIE (APRN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W 47TH ST STE 514
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1247
Mailing Address - Country:US
Mailing Address - Phone:816-216-7054
Mailing Address - Fax:
Practice Address - Street 1:800 W 47TH ST STE 514
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1247
Practice Address - Country:US
Practice Address - Phone:816-216-7054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2022-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209019347363L00000X
FLAPRN9291659363L00000X
NM61691363L00000X
KS80682363L00000X
KS53-80682-102363L00000X
MO2018003402363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner