JESSICA DANAE' PREBBLE APRN NPI 1588230312

NPI Information

NPI: 1588230312
Provider Name: JESSICA DANAE' PREBBLE, APRN
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
6650 W 110TH ST STE 220A
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 549-3884
Get Directions

Jessica Danae' Prebble, APRN is a gerontology nurse practitioner in Overland Park, KS. Jessica Danae' Prebble, APRN NPI is 1588230312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6650 W 110TH ST STE 220A
OVERLAND PARK, KS
ZIP 66211-501
Phone: (913) 549-3884
Fax: (913) 273-3343

The NPI 1588230312 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2021 and was last updated on 11/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	53-80241-031	KANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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