IndividualActive
Jennifer Booker
NPI 1477124394 · Gerontology Nurse Practitioner · Overland Park, KS
Provider details
- NPI number
- 1477124394
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 53-80333-071 (KS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6509 W 103rd St
Overland Park, KS 66212-1728
Phone: (913) 649-3701
Approximate (ZIP-level) locationGet directions
Mailing address
4411 E 53rd Ter
Kansas City, MO 64130-4124
Registry dates
- Enumerated
- 2021-07-02
- Last updated
- 2021-07-02
- Certified
- 2021-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.