Provider Demographics
NPI:1215708235
Name:BOLLINGER, EMILY JEAN (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JEAN
Last Name:BOLLINGER
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9151 NE 81ST TER STE 100
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64158-1176
Mailing Address - Country:US
Mailing Address - Phone:816-781-4740
Mailing Address - Fax:816-781-0971
Practice Address - Street 1:9151 NE 81ST TER STE 100
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64158-1176
Practice Address - Country:US
Practice Address - Phone:816-781-4740
Practice Address - Fax:816-781-0971
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024028397363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily