Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jacklyn Chanell Griffin, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1013574433

Mrs. Jacklyn Chanell Griffin, FNP-BC is a Nurse Practitioner in Raymore, Missouri. Qualified in 2016, 10 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
10
Licensed in
MO
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1215 W Foxwood Dr
Raymore, MO 64083-8301
Phone: (816) 318-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116-3266 — (816) 452-3300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2010027555 (MO)

Record details

NPI number1013574433
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 21, 2019
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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