Provider Demographics
NPI:1104562479
Name:BOYLE-JACOBS, HOPE LYNN (PMHNP)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:LYNN
Last Name:BOYLE-JACOBS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-4738
Mailing Address - Country:US
Mailing Address - Phone:920-539-0427
Mailing Address - Fax:
Practice Address - Street 1:1004 CARONDELET DR STE 300
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4858
Practice Address - Country:US
Practice Address - Phone:816-942-4500
Practice Address - Fax:816-941-4504
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021101183363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health