Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jackie Wayne Tenney, MD

Individual provider Pediatrics Physician · NPI 1073554820

Dr. Jackie Wayne Tenney, MD is a Pediatrics Physician in Kansas City, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6400 Prospect Ave Ste 646
Kansas City, MO 64132-1100
Phone: (816) 444-8400
Fax: (816) 444-8407
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R7F09 (MO)

Record details

NPI number1073554820
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 19, 2012

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