JESSICA FENNEWALD


Address: 2521 Glenn Hendren Drive, Suite 408, Liberty, MO 64068
Phone: 8164784887

JESSICA FENNEWALD (NPI# 1376856880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376856880
Entity Type Individual
Full Name JESSICA FENNEWALD
Credential APRN
Practice Address 2521 Glenn Hendren Drive
Suite 408
Liberty
MO 64068
Mailing Address 17501 East 40 Highway
Suite 213a
Independence
MO 64055
Practice Telephone 8164784887
Practice Fax Number 8164787140
Mailing Telephone 8164784887
Mailing Fax Number 8164787140
Enumeration Date 2010-07-26
Last Update Date 2017-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
806975 TX Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
2010023609 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2521 GLENN HENDREN DRIVE
SUITE 408
City LIBERTY
State MO
Zip Code 64068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932136884 Northland Ear Nose & Throat PC Otolaryngology 2521 Glenn Hendren Drive, Suite 104, Liberty, MO 64068-3388 2006-06-27
1255729133 Elizabeth Collings Registered Nurse 2521 Glenn Hendren Drive, Suite 408, Liberty, MO 64068 2014-12-31
1043475478 Lisa J Schuster Audiologist 2521 Glenn Hendren Drive, Suite 104, Liberty, MO 64068-3388 2008-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437258 Midwestern Medical Consultants LLC Assisted Living Facility 227 W. Franklin St, Liberty, MO 64068 2019-09-26
1063935062 Jennifer Nichole Gibson Nurse Practitioner Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 2017-07-21
1598288755 Lhlc Operations, LLC Skilled Nursing Facility 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 2017-07-19
1023438371 Sarah E Ehlers Social Worker 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 2014-04-24
1629498563 Kelli Hedgpeth Physical Therapy Assistant 3980 South Jackson Dr, Independence, MO 64068 2014-04-18
1639593965 Klein Dental Group LLC Clinic/Center 12 Westwoods Dr, Liberty, MO 64068 2014-02-06
1124457239 Sarah Ehlers, Lcsw LLC Social Worker 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 2013-11-08
1134561558 Holly Hemphill Marriage & Family Therapist 117 N. Water Street, Liberty, MO 64068 2013-07-26
1093157133 Tina Wilma Sanborn Marriage & Family Therapist 1170 W. Kansas St., Liberty, MO 64068 2013-07-17
1609215441 Timothy Adam Lynch Marriage & Family Therapist 1170 West Kansas Ave., Liberty, MO 64068 2013-06-14
Find all providers in zip 64068

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043595796 Pamela Ann Pierce Nurse Practitioner 1539 Dartmouth Dr, Liberty, MO 64068-3347 2011-10-13
1548207251 Ginger E Mcintosh-james Nurse Practitioner 1530 N Church Rd, Liberty, MO 64068-7129 2006-06-01
1699761767 Kristin Lee Stitt Nurse Practitioner 1530 A Hwy, Liberty, MO 64068-7129 2005-09-23
1003322900 Leonna Huhn Nurse Practitioner 102 W Freedom Dr, Liberty, MS 39645-7295 2017-12-15
1801268891 Meritas Health Corporation Nurse Practitioner 109 N Blue Jay Dr, Liberty, MO 64068-1906 2015-10-29
1861784910 Jennifer Elizabeth Mcdaniel Nurse Practitioner 109 N Blue Jay Dr, Liberty, MO 64068-1906 2011-05-09
1457597205 Carlene Marie Breen Nurse Practitioner 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 2008-12-29
1902938277 Cheryl Lynn Daugherty Nurse Practitioner 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 2007-03-12
1902957616 Susan Jeanne Nordhues Nurse Practitioner 1530 N Church Rd, Liberty, MO 64068-7129 2007-01-16
1033211016 Patricia Juanell Crain Nurse Practitioner 1133 W Kansas St, Liberty, MO 64068-2281 2006-09-01
Find all providers in LIBERTY

Competitor

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City LIBERTY
Zip Code 64068

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Dataset Information

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.

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