| Doctor Name: | MRS. JENNIFER RAGAN VANLEEUWEN |
| NPI Number: | 1215339965 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN/CNS |
| License Number: | 76550 |
| Business Practice Address: | 9301 W 74th St Suite 100 Shawnee Mission, KS - 662042207 |
| Business Phone Number: | 9136329100 |
| Business Fax Number: | |
| Mailing Address: | 7200 W 72nd St, OVERLAND PARK |
| State: | KS |
| Postal Code: | 662041937 |
| Phone Number: | 8166781848 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2014 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0200X |
| License Number: | 76550 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |