JACKLYN CHANELL GRIFFIN (NPI# 1013574433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013574433 |
| Entity Type | Individual |
| Full Name | JACKLYN CHANELL GRIFFIN |
| Credential | FNP-BC |
| Practice Address |
2790 Clay Edwards Dr Ste 530 North Kansas City MO 64116-3266 |
| Practice Telephone | 8164523300 |
| Practice Fax Number | 8164530677 |
| Mailing Telephone | 8164523300 |
| Mailing Fax Number | 8164530677 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017022389 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831522267 | Jacklyn Michelle Griffin | Nurse Practitioner | 27355 John R Rd, Madison Heights, MI 48071-3300 | 2013-08-21 |
| Street Address |
2790 CLAY EDWARDS DR STE 530 |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip Code | 64116-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110189 | Brian Thomas Lovitt | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116-3266 | 2013-05-09 |
| 1558712430 | Jackie Herzberg | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116-3266 | 2016-06-22 |
| 1124432844 | Bridget Alison Crowley | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861866121 | Vanessa Mcanally | Nurse Practitioner | 2700 Clay Edwards Dr Ste 500, North Kansas City, MO 64116-3263 | 2015-11-23 |
| 1306478193 | Mayra Salazar | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2020-02-10 |
| 1508341207 | Kellie Marie Fries | Nurse Practitioner | 1914 Swift Ave, North Kansas City, MO 64116-3447 | 2018-09-27 |
| 1205326212 | Sara J Miller | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1235, North Kansas City, MO 64116 | 2018-05-15 |
| 1063925022 | Shannon Glynn | Nurse Practitioner | 1914 Swift Ave, North Kansas City, MO 64116-3447 | 2017-11-13 |
| 1720515257 | Aaron Michael Benson | Nurse Practitioner | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2017-05-15 |
| 1245780469 | Eleece Marie Kaiser | Nurse Practitioner | 2800 Clay Edwards Dr, North Kansas City, MO 64116-3220 | 2016-10-12 |
| 1679937957 | Jill Gabel | Nurse Practitioner | 2790 Clay Edwards Dr, Suite 520, North Kansas City, MO 64116-3276 | 2016-04-12 |
| 1639544802 | Kristin Waugh | Nurse Practitioner | 2700 Clay Edwards Dr, Suite 120, North Kansas City, MO 64116-3251 | 2015-12-14 |
| 1073995353 | Tessa Weigel | Nurse Practitioner | 2790 Clay Edwards Dr, Suite 410, North Kansas City, MO 64116-3276 | 2015-06-23 |
| Find all providers in NORTH KANSAS CITY | ||||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
Please comment or provide details below to improve the information on JACKLYN CHANELL GRIFFIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.