Provider Demographics
NPI:1699793745
Name:TROUTMAN, JENNIFER SUSAN (FNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:SUSAN
Last Name:TROUTMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 TROOST AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-1215
Mailing Address - Country:US
Mailing Address - Phone:816-276-7650
Mailing Address - Fax:816-276-7090
Practice Address - Street 1:6650 TROOST AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-1215
Practice Address - Country:US
Practice Address - Phone:816-276-7650
Practice Address - Fax:816-276-7090
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily