Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BREAUNNAH BLOOMER JACKSON, MD
ActiveDR. BREAUNNAH BLOOMER JACKSON, MD is a Psychiatric Neurology healthcare provider located in KANSAS CITY, Missouri. NPI 1831759877 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · KANSAS CITY, MO
Registration Details
- NPI Number
- 1831759877
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 20, 2019 (7.1238217097543 yrs)
- Last Updated
- Sep 10, 2025
- Licenses
-
313326 (LA)325879 (LA)
Practice Information
- Address
-
10918 ELM AVE STE 102KANSAS CITY, MO, 641342284Browse MO providers · Browse ZIP 64134
- Phone
- 8167674346
- Fax
- 8162516367
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
Other Psychiatric Neurology Providers in KANSAS CITY, MO
| Name | Credential | NPI |
|---|---|---|
| DR. EILEEN DUGGAN | MD | 1770541542 |
| DR. DEBRA A WILLSIE | DO | 1396786570 |
| JAMES R BATTERSON | MD | 1629014071 |
| LARRY VAIL MCDONALD | MD | 1568482453 |
| DR. CATHERINE ELIZABETH MADDEN | M.D. | 1467461731 |
| JESUS-MARTIN MALDONADO-DURAN | MD | 1023176880 |
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.