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

Jill Davidson

Individual provider Family Nurse Practitioner · NPI 1215753397

Jill Davidson is a Nurse Practitioner in Kansas City, Missouri. Qualified in 2024, 2 years ago. Licensed in Kansas and Missouri.

Years since qualifying
2
Licensed in
KS, MO
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

10205 State Line Rd
Kansas City, MO 64114-4263
Phone: (816) 354-3090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2024047258 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence TMP-162518 (KS)

Record details

NPI number1215753397
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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