Provider Demographics
NPI:1982038766
Name:HALL, JAMIE KELENE (APRN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:KELENE
Last Name:HALL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:K
Other - Last Name:GILSTRAP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 219658
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64121-9658
Mailing Address - Country:US
Mailing Address - Phone:816-407-2300
Mailing Address - Fax:816-407-2301
Practice Address - Street 1:8300 N CHURCH RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1104
Practice Address - Country:US
Practice Address - Phone:816-407-2300
Practice Address - Fax:816-407-2301
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS90125163W00000X
KS76100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse