Provider Demographics
NPI:1881239895
Name:WEHNER, JENNA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE
Last Name:WEHNER
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 1:708 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:64034-9100
Mailing Address - Country:US
Mailing Address - Phone:816-204-7371
Mailing Address - Fax:
Practice Address - Street 1:9140 WARD PKWY STE 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3327
Practice Address - Country:US
Practice Address - Phone:816-523-0066
Practice Address - Fax:816-523-0034
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-79337363LF0000X
MO2020002335208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016897056OtherWPS
MO2020002335OtherMO. LICENSE NUMBER