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1073268199
AUSTYN JADE ELIZABETH PORTER
INDEPENDENCE, MO
NPI
1073268199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2022005945)
Enumeration Date
2022-02-17
Last Update Date
2024-05-14
Business Address
AUSTYN JADE ELIZABETH PORTER FNP
4600 LITTLE BLUE PKWY
INDEPENDENCE, MO 64057-8302
Phone number: 816-795-7888
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Mailing Address
AUSTYN JADE ELIZABETH PORTER FNP
7003 N KIRKWOOD AVE
KANSAS CITY, MO 64151-2898
Phone number: 417-773-4603
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