Provider Demographics
NPI:1508201963
Name:MOLSTAD, JESSICA MARY (NP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MARY
Last Name:MOLSTAD
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Gender:
Credentials:NP
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Mailing Address - Street 1:8500 W 110TH ST STE 260
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1892
Mailing Address - Country:US
Mailing Address - Phone:913-308-4529
Mailing Address - Fax:913-273-4923
Practice Address - Street 1:16600 W 126TH ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1184
Practice Address - Country:US
Practice Address - Phone:913-308-4529
Practice Address - Fax:913-273-4923
Is Sole Proprietor?:No
Enumeration Date:2013-04-29
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2013006422363LF0000X
KS5375975081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily