Provider Demographics
NPI:1629469846
Name:PLYMELL, ALLYSSA (FNP-C)
Entity Type:Individual
Prefix:
First Name:ALLYSSA
Middle Name:
Last Name:PLYMELL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 CLAY EDWARDS DR STE 625
Mailing Address - Street 2:
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3278
Mailing Address - Country:US
Mailing Address - Phone:816-455-3990
Mailing Address - Fax:816-455-5351
Practice Address - Street 1:2790 CLAY EDWARDS DR STE 625
Practice Address - Street 2:
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116
Practice Address - Country:US
Practice Address - Phone:816-455-3990
Practice Address - Fax:816-455-5351
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015001256363LF0000X
MO2011002137163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse