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

MS. Courtney J Jack, APRN-BC

Individual provider Family Nurse Practitioner · NPI 1336740620

MS. Courtney J Jack, APRN-BC is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2020, 6 years ago. Practices with Curana Health of Missouri-Kansas LLC, a 149-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Illinois, Indiana and Kansas and 5 more.

Years since qualifying
6
Licensed in
IA, IL, IN, KS, MN, MO
In the registry since
2020
Specialties on file
9
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Practice location Address checks out

400 SW Longview Blvd Ste 280
Lees Summit, MO 64081-2157
Phone: (816) 477-7200
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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 2020029102 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.031610 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 79693 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A181796 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0038214 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 16215-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71016015A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 12487 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 115898 (NE)

Record details

NPI number1336740620
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Curana Health Of Missouri-Kansas Llc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

Other providers in Lees Summit