Jeanette Marjorie Shanholtzer, RNC MSN APRN WHNP | |
1535 Ne Douglas St, Lees Summit, MO 64086-4611 | |
(816) 525-0907 | |
(816) 525-1664 |
Full Name | Jeanette Marjorie Shanholtzer |
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Gender | Female |
Speciality | Nurse Practitioner - Women's Health |
Location | 1535 Ne Douglas St, Lees Summit, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598926230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | 9402822 (Florida) | Primary |
Entity Name | Cerebral Medical Group A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992355879 PECOS PAC ID: 6709206238 Enrollment ID: O20210303000840 |
Mailing Address | Practice Location Address |
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Jeanette Marjorie Shanholtzer, RNC MSN APRN WHNP Po Box 1465, Santa Rosa Beach, FL 32459-1465 Ph: (816) 719-5109 | Jeanette Marjorie Shanholtzer, RNC MSN APRN WHNP 1535 Ne Douglas St, Lees Summit, MO 64086-4611 Ph: (816) 525-0907 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Brittany Ann Shingleton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063 Phone: 816-872-8110 | |
Mrs. Makenzie Kayla Stroup, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-533-4398 | |
Flora Ann Gorham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 |