Biondo, Jacqueline

Biondo, Jacqueline is an individual health care provider with primary practice located at 2401 Gillham Road Attn: Provider Enrollment Department, Kansas City MO 64108-4619. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Biondo, Jacqueline can be contacted via phone (816) 701-5200.

Contact Information

Primary practice address
2401 Gillham Road Attn: Provider Enrollment Department Kansas City MO 64108-4619
Phone: (816) 701-5200
Fax: (816) 302-9939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X NP 107501 Missouri

Profile Details

NPI number 1316985781
LBN Legal business name Biondo, Jacqueline
Credentials RNC, NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316985781 NPPES
Missouri MEDICAID 429191000
Missouri MEDICAID 200001330B
Missouri Other 466390

Popular Providers