IndividualActive
Breaunnah Jackson, MD
NPI 1831759877 · Child & Adolescent Psychiatry Physician · Kansas City, MO
Provider details
- NPI number
- 1831759877
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 313326 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
10918 Elm Ave Ste 102
Kansas City, MO 64134-2284
Phone: (816) 767-4346
Fax: (816) 251-6367
Approximate (ZIP-level) locationGet directions
Mailing address
901 E 104th St
Kansas City, MO 64131-4517
Registry dates
- Enumerated
- 2019-06-20
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.