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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. COURTNEY J JACK, APRN-BC

Active

MS. COURTNEY J JACK, APRN-BC is a Family Nurse Practitioner healthcare provider located in LEES SUMMIT, Missouri. NPI 1336740620 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LEES SUMMIT, MO

Registration Details

NPI Number
1336740620
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2020 (5.7329138333408 yrs)
Last Updated
Mar 21, 2025
Licenses
209.031610 (IL)
2020029102 (MO)
79693 (KS)
A181796 (IA)
0038214 (OH)

Practice Information

Address
400 SW LONGVIEW BLVD STE 280
LEES SUMMIT, MO, 640812157
Browse MO providers · Browse ZIP 64081
Phone
8164777200
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in LEES SUMMIT, MO

Name Credential NPI
TAMERA J WOLF FNP 1356342232
JANELLE RAE HOLLINGSWORTH RN MSN FNP-BC 1205828670
MRS. MICHELLE ANN GUINTA MSN RN FNP-C 1962473215
VALERIE K. SOMMER RN FNP-C 1598739740
MRS. DANA L. FLORY ARNP-C 1336190271
ROBYN LYNNE CAMPBELL ARNP 1740226810
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.