Provider Demographics
NPI:1194796961
Name:GLADMAN, JANICE (RN, MSN,CS, FNP)
Entity type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:GLADMAN
Suffix:
Gender:F
Credentials:RN, MSN,CS, FNP
Other - Prefix:MRS
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2700 CLAY EDWARDS DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3251
Mailing Address - Country:US
Mailing Address - Phone:816-691-5287
Mailing Address - Fax:816-346-7690
Practice Address - Street 1:2600 RUNNING HORSE ROAD
Practice Address - Street 2:
Practice Address - City:PLATTE CITY
Practice Address - State:MO
Practice Address - Zip Code:64079-9761
Practice Address - Country:US
Practice Address - Phone:816-858-2200
Practice Address - Fax:816-858-3611
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO66677363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO425064219Medicaid
29893011OtherBCBS OF KC INDIVIDUAL #
P34262Medicare UPIN
J97B128Medicare PIN