Basic Information
Provider Information
NPI: 1760085674
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HESS
FirstName: ASHLEE
MiddleName: JO
NamePrefix: MRS.
NameSuffix:  
Credential:  
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Mailing Information
Address1: 16616 KANSAS AVE
Address2:  
City: BASEHOR
State: KS
PostalCode: 660077044
CountryCode: US
TelephoneNumber: 9136207345
FaxNumber:  
Practice Location
Address1: 8929 PARALLEL PKWY
Address2:  
City: KANSAS CITY
State: KS
PostalCode: 661121689
CountryCode: US
TelephoneNumber: 9135964180
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/21/2020
LastUpdateDate: 12/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 12/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X79787KSY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
207P00000X79787KSN Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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