Provider Demographics
NPI:1710113006
Name:BATCHELDER, JENNIFER COLLEEN (PA-C, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:COLLEEN
Last Name:BATCHELDER
Suffix:
Gender:F
Credentials:PA-C, OTR/L
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Mailing Address - Street 1:2000 SE BLUE PKWY
Mailing Address - Street 2:STE 230
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1044
Mailing Address - Country:US
Mailing Address - Phone:816-214-9300
Mailing Address - Fax:816-214-9330
Practice Address - Street 1:2790 CLAY EDWARDS DR
Practice Address - Street 2:STE 1230
Practice Address - City:NORTH KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3276
Practice Address - Country:US
Practice Address - Phone:816-214-9300
Practice Address - Fax:816-214-9330
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2017-09-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2012005493363A00000X
MO2008022940225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist