MRS. JACQUELYN E BOAN FNP
NPI 1063454452
Nurse Practitioner - Gerontology in Kansas City, MO

Active since June 12, 2006
11201 COLORADO AVE, KANSAS CITY, MO 64137(816) 765-0232(816) 763-0734 Get Directions Write a Review

NPPES record last updated: December 8, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jacquelyn E Boan Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELYN E BOAN FNP (NPI 1063454452) is an individual gerontology provider in Kansas City, Missouri, licensed in Missouri (086946) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1063454452
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. JACQUELYN E BOANCredential: FNP
Location Address11201 COLORADO AVEKansas City, MO 64137-2502
Mailing Address11201 Colorado AveKansas City, MO 64137-2502 · (816) 765-0232 · Fax (816) 763-0734
Fax(816) 763-0734
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateDecember 8, 2012
NPI 1063454452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MO · 086946
11201 COLORADO AVE, Kansas City, MO 64137

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11201 COLORADO AVE
KANSAS CITY, MO 64137
Psychiatry & Neurology (Neurology)
11201 COLORADO AVE
KANSAS CITY, MO 64137
Psychiatry & Neurology (Neurology)
11201 COLORADO AVE
KANSAS CITY, MO 64137
Family Medicine
11201 COLORADO AVE
KANSAS CITY, MO 64137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Boan's NPI number?

The NPI number for Jacquelyn Boan is 1063454452. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jacquelyn Boan located?

Jacquelyn Boan practices at 11201 Colorado Ave, Kansas City, MO 64137. The listed phone number is (816) 765-0232.

What is Jacquelyn Boan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Boan was last updated on December 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.